DR. RENE CHARLES DUFFOURC III (NPI# 1720209588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720209588 |
| Entity Type | Individual |
| Full Name | DR. RENE CHARLES DUFFOURC III |
| Credential | M.D. |
| Practice Address |
1 Park Dr Suite C Holiday Island AR 72631-9216 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4793639174 |
| Practice Fax Number | 4793639175 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E-6696 | AR | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
E-6696 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | TRICARE | 431560263 | 01 |
| AR | 185967001 | 05 |
| Street Address |
1 PARK DR SUITE C |
| City | HOLIDAY ISLAND |
| State | AR |
| Zip Code | 72631-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538195508 | Mercy Clinic Springfield Communities | Family Medicine | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2006-06-23 |
| 1174064455 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2017-03-20 |
| 1356894828 | Jacquelynn Skaarup | Occupational Therapy Assistant | 1 Park Dr, Suite A, Holiday Island, AR 72631-9216 | 2016-08-01 |
| 1427421403 | Ramona Thach | Speech-Language Pathologist | 1 Park Dr, Suite A, Holiday Island, AR 72631-9216 | 2015-11-12 |
| 1043654452 | Carolyn S Gentry | Registered Nurse | 1 Park Dr, Suite A, Holiday Island, AR 72631-9216 | 2013-04-29 |
| 1730223157 | Terry William Bushay | Dentist | 1 Park Dr, Ste D, Holiday Island, AR 72631-9216 | 2007-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427444124 | Holiday Island Operations, LLC | Assisted Living Facility | 89 Hillside Drive, Holiday Island, AR 72631 | 2015-04-09 |
| 1003916420 | Eureka Springs Hospital | Home Health | 6 Forest Park, Suite D & E, Holiday Island, AR 72631 | 2006-09-25 |
| 1881171551 | Air Evac Ems, Inc. | Ambulance | 1 Park Dr Ste A, Holiday Island, AR 72631 | 2018-07-25 |
| 1881795789 | Eureka Springs Hospital | Hospice Care, Community Based | 6 Forest Park, Suite D & E, Holiday Island, AR 72631 | 2006-09-26 |
| 1942357405 | Green Acre Lodge Inc. | Assisted Living Facility | 89 Hillside Dr, Holiday Island, AR 72631-4618 | 2007-01-05 |
| 1518282391 | Ptworks,p.a. | Physical Therapist | 18 Green Meadow Ln Apt D, Holiday Island, AR 72631-4651 | 2010-04-05 |
| 1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
| 1588980437 | Edwin Wood White | Psychiatry & Neurology | 202 Ridge Rd, Eureka Springs, AR 72631-9052 | 2010-04-18 |
| 1023367752 | Ruthann Marie Tucker | Nurse Practitioner | 161 Hillcrest Rd, Eureka Springs, AR 72631-9080 | 2012-09-10 |
| 1659558609 | Andy Langston, Od, Pa | Optometrist | No 1 Park Dr Ste B, Holiday Island, AR 72631-9221 | 2008-01-22 |
| Find all providers in zip 72631 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295075 | Les Smith Pa | Psychiatry & Neurology | 700 S Schiller St Ste 300, Little Rock, AR 72201-4735 | 2020-02-03 |
| 1134690472 | General Health Services of Arkansas | Psychiatry & Neurology | 813 Cache River Rd, North Little Rock, AR 72116-6363 | 2018-12-16 |
| 1821578881 | Baptist Health Services | Psychiatry & Neurology | 1001 Towson Ave Fl 6, Fort Smith, AR 72901-4921 | 2018-08-20 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1588152649 | Forefront-rush Medical Services PC | Psychiatry & Neurology | 1216 Twin Lakes Dr, Little Rock, AR 72205-6769 | 2018-04-24 |
| 1821507450 | Behavioral Science Consultants Pllc | Psychiatry & Neurology | 2 Golden Oak Cv, Little Rock, AR 72212-2132 | 2017-09-27 |
| 1609316694 | Suzanne Nicholas LLC | Psychiatry & Neurology | 2224 Riverfront Ln, Fayetteville, AR 72703-9527 | 2017-02-24 |
| 1386199321 | Hb Contracting Pllc | Psychiatry & Neurology | 5611 Pear Tree Dr, Little Rock, AR 72206-8845 | 2016-08-19 |
| 1164884250 | Cydney Grant | Psychiatry & Neurology | 1521 Merrill Dr Ste 200, Little Rock, AR 72211-1821 | 2016-03-28 |
| 1518373802 | Azka Munawar | Psychiatry & Neurology | 6834 Cantrell Rd Ste 1180, Little Rock, AR 72207-4135 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
| City | HOLIDAY ISLAND |
| Zip Code | 72631 |
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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.