FAMILY CARE OF SOUTHERN ARKANSAS, LTD (NPI# 1790050466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790050466 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE OF SOUTHERN ARKANSAS, LTD |
| Practice Address |
3108 N West Ave El Dorado AR 71730-2731 |
| Mailing Address |
11001 Executive Center Dr Suite 200 Little Rock AR 72211-4316 |
| Practice Telephone | 8708639020 |
| Mailing Telephone | 5018127800 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | ROBERT A WATSON II (MD/OWNER) |
| Authorized Official Telephone | 8708639020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-1050 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
3108 N WEST AVE |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275071755 | Tanya Marie Golden | Nurse Practitioner | 3108 N West Ave, El Dorado, AR 71730-2731 | 2017-02-06 |
| 1871948596 | Danielle Fennell Dixon | Physician Assistant | 3108 N West Ave, El Dorado, AR 71730-2731 | 2016-05-02 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285870618 | Susan B. Allen Memorial Hospital | Family Medicine | 700 W Central Ave Ste 204, El Dorado, KS 67042-2186 | 2009-01-07 |
| 1740315357 | Yuekui Li | Family Medicine | 460 W. Oak St, El Dorado, AR 71730 | 2007-02-22 |
| 1548329857 | Deanna Lynn Hopson | Family Medicine | 600 S Timberlane Drive, El Dorado, AR 71730-4519 | 2006-12-06 |
| 1417060286 | Robert A Watson II | Family Medicine | 3108 North West Avenue, El Dorado, AR 71730 | 2006-08-16 |
| 1396770046 | Carlton Morris Newsome | Family Medicine | 520 Lester St, El Dorado, AR 71730-4434 | 2006-07-11 |
| 1548291420 | Remel Carino Buslig | Family Medicine | 818 Doe Meadow Ln, El Dorado, AR 71730-2159 | 2006-07-06 |
| 1295796720 | Philipp Narciso | Family Medicine | 2613 Bambi Ln, El Dorado, AR 71730-5286 | 2006-04-01 |
| 1396714424 | Jerry H Grant | Family Medicine | 104 East Grove, Grantmed, El Dorado, AR 71730-3929 | 2006-03-14 |
| 1538154570 | Gary Lloyd Bevill | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2005-09-15 |
| 1174517874 | William Harper | Family Medicine | 425 W Oak St, El Dorado, AR 71730-4566 | 2005-09-08 |
| Find all providers in EL DORADO | ||||
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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.