CENTAURUS EMERGENCY PHYSICIANS, LLC (NPI# 1588015945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588015945 |
| Entity Type | Organization |
| Organization Name | CENTAURUS EMERGENCY PHYSICIANS, LLC |
| Practice Address |
211 Crawford Memorial Dr Van Buren AR 72956-5322 |
| Mailing Address |
Po Box 98994 Las Vegas NV 89193-8994 |
| Practice Telephone | 4694012386 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | TENNA BEHM (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730530262 | Centaurus Emergency Physicians, LLC | Physician Assistant | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2016-06-27 |
| Street Address |
211 CRAWFORD MEMORIAL DR |
| City | VAN BUREN |
| State | AR |
| Zip Code | 72956-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376007427 | Michelle Phillips | Nurse Practitioner | 211 Crawford Memorial Dr, Van Buren, AR 72956-5322 | 2019-01-23 |
| 1154807584 | Baptist Health Regional Hospitals | General Acute Care Hospital | 211 Crawford Memorial Dr, Van Buren, AR 72956-5322 | 2018-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1831678507 | Baptist Health Services | Family Medicine | 209 Pointer Trl W Ste A, Van Buren, AR 72956 | 2018-08-13 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1225517030 | Baptist Heath Services | Family Medicine | 14 Gothic Ridge Rd Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1255810206 | Baptist Health Services | Family Medicine | 14 Gothic Ridge Rd Ste A, Van Buren, AR 72956 | 2018-08-10 |
| 1407371339 | Allison Frazier | Speech-Language Pathologist | 2221 Pointer Trail East, Van Buren, AR 72956 | 2017-08-11 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1629326210 | Natalie N. Fink | Speech-Language Pathologist | 1109 Fayetteville Rd., Van Buren, AR 72956 | 2012-08-29 |
| 1538490271 | Ronald Joel Yukon | Chiropractor | 2731 Rudy Road, Van Buren, AR 72956 | 2010-01-20 |
| 1568799864 | Fritzie Suggs | Occupational Therapist | 2233 Alma Hwy, Suite C, Van Buren, AR 72956 | 2009-11-06 |
| Find all providers in zip 72956 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710210786 | Phillips Landing Emergency Physicians LLC | Emergency Medicine | E. Main and S. 20th Street, Van Buren, AR 72956-5322 | 2009-09-09 |
| 1831178524 | Jeffrey D. Hamby | Emergency Medicine | 30 Northridge Dr, Van Buren, AR 72956-6668 | 2006-01-11 |
| 1497736508 | Nes Arkansas, Inc. | Emergency Medicine | East Main & South 20th Street, Van Buren, AR 72956 | 2005-11-07 |
| 1033198619 | Stephen C. Graves | Emergency Medicine | East Main & South 20th Street, Van Buren, AR 72957 | 2006-01-12 |
| 1164401832 | David A. Dias | Emergency Medicine | East Main & South 20th Street, Van Buren, AR 72957 | 2006-01-11 |
| 1386623056 | Joni L. Carmack | Emergency Medicine | East Main & South 20th Street, Van Buren, AR 72957 | 2006-01-11 |
| 1356327878 | Brent D. Chavis | Emergency Medicine | East Main & South 20th Street, Van Buren, AR 72956 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198554 | Richard Lister Calleton | Emergency Medicine | 656 Polk Road 63, Mena, AR 71953-4447 | 2019-11-12 |
| 1780187302 | Samuel G Waters | Emergency Medicine | 512 Farr Shores Dr, Hot Springs, AR 71913-9622 | 2018-03-09 |
| 1689101099 | Sterling Thornton Brown | Emergency Medicine | 4803 Jefferson Ave, # 126, Texarkana, AR 71854-1143 | 2017-05-16 |
| 1669907051 | David Crow | Emergency Medicine | 4301 W Makham St., Little Rock, AR 72205 | 2017-04-24 |
| 1811429772 | Meredith Kathleen Von Dohlen | Emergency Medicine | 4301 W Markham St, Slot 584, Little Rock, AR 72205-7199 | 2017-03-30 |
| 1972034775 | Brandon Keith Vick | Emergency Medicine | 612 South 12th St., Family Medicine Uams-west, Fort Smith, AR 72901 | 2017-03-23 |
| 1760839120 | Nana-aishatu U Adamu | Emergency Medicine | 1401 S State St Ste C, Pine Bluff, AR 71601-5827 | 2016-05-16 |
| 1154784882 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5510 S Olive Street, Pine Bluff, AR 71603-7607 | 2016-03-31 |
| 1649632886 | Cesar Hurtado | Emergency Medicine | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 | 2016-03-26 |
| 1306216932 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5505 John F Kennedy Blvd, North Little Rock, AR 72116-6707 | 2015-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.