EL DORADO WELLNESS CENTER PLLC (NPI# 1992188999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992188999 |
| Entity Type | Organization |
| Organization Name | EL DORADO WELLNESS CENTER PLLC |
| Practice Address |
431 Thompson Ave Suite B El Dorado AR 71730-4553 |
| Practice Telephone | 8706398128 |
| Practice Fax Number | 8706398129 |
| Mailing Telephone | 8706398128 |
| Mailing Fax Number | 8706398129 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | VERONICA SEGRETO (OWNER) |
| Authorized Official Telephone | 8706398128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0404X |
Clinic/Center Specialization: Rehabilitation, Cardiac Facilities |
Ambulatory Health Care Facilities |
| Street Address |
431 THOMPSON AVE SUITE B |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033587720 | El Dorado Wellness Center LLC | Internal Medicine | 431 Thompson Ave, Suite B, El Dorado, AR 71730-4553 | 2015-09-11 |
| 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 | 261QR0404X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Cardiac Facilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104467 | Better Life Heart Therapy Inc | Clinic/Center | 7 Medical Ln Ste C, Conway, AR 72034-4918 | 2020-01-30 |
| 1417364704 | Physiques, Inc. | Clinic/Center | 1010 N Dudney Rd Ste E, Magnolia, AR 71753-2651 | 2014-07-18 |
Please comment or provide details below to improve the information on EL DORADO WELLNESS CENTER PLLC.
| 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.