MR. RICHARD WORTH PECKHAM (NPI# 1750373395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750373395 |
| Entity Type | Individual |
| Full Name | MR. RICHARD WORTH PECKHAM |
| Credential | M.D. |
| Practice Address |
715 N College Ave El Dorado AR 71730-4403 |
| Mailing Address |
412 N Vine Magnolia AR 71753-2842 |
| Practice Telephone | 8708627921 |
| Practice Fax Number | 8708642490 |
| Mailing Telephone | 8702347500 |
| Mailing Fax Number | 8702348225 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R3207 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 107709001/152144002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174964357 | Richard Anthony Peckham | Nurse Practitioner | 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 | 2013-07-16 |
| Street Address |
715 N COLLEGE AVE |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615442 | Lara Katheryn Dollar | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2020-09-29 |
| 1902424336 | Kelsey Tom | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2020-07-13 |
| 1851937528 | Janet Taylor | Counselor | 715 N College Ave, El Dorado, AR 71730-4403 | 2019-11-18 |
| 1124592316 | Frankee Elizabeth Robertson | Licensed Practical Nurse | 715 N College Ave, El Dorado, AR 71730-4403 | 2019-01-22 |
| 1831663020 | Wanda Sturges | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2019-01-22 |
| 1801365937 | Connie Taute | Counselor | 715 N College Ave, El Dorado, AR 71730-4403 | 2018-11-19 |
| 1588132997 | Bianca Stephens | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730 | 2018-11-05 |
| 1881170181 | Nikisha Monique Woods | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2018-07-19 |
| 1922598671 | Kandy Michelle Yarborough | Counselor | 715 N College Ave, El Dorado, AR 71730-4403 | 2018-05-17 |
| 1205348273 | Amy Walthall | Licensed Practical Nurse | 715 N College Ave, El Dorado, AR 71730-4403 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417969478 | Joseph A Deluca | Internal Medicine | 620 W Grove St Ste 202, El Dorado, AR 71730-4425 | 2006-08-11 |
| 1184631798 | Pamela Jean Schonefeld | Internal Medicine | 815 Thompson Ave, Medical Center of South Arkansas-adult Medicine, El Dorado, AR 71730-4464 | 2006-08-03 |
| 1558321752 | South Arkansas Physician Services, LLC | Internal Medicine | 714 W Faulkner St, El Dorado, AR 71730-4598 | 2006-03-23 |
| 1710439203 | Allison J. Sollo, P.a. | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2016-10-31 |
| 1750728838 | Allison J Sollo | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2013-05-29 |
| 1184905655 | Alejandro A Vega Md Pa | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2011-08-29 |
| 1619298692 | Brenda Schewe, P.a. | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2010-06-14 |
| 1831209261 | Matthew Moll | Internal Medicine | 720 W Central Ave, El Dorado, KS 67042 | 2006-08-30 |
| 1245253061 | Kyle Milton Tipton | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2006-07-25 |
| 1326060575 | Phillip Stanley Olsen | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2006-07-24 |
| Find all providers in EL DORADO | ||||
Please comment or provide details below to improve the information on MR. RICHARD WORTH PECKHAM.
| 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.