DR. TIE S. ONG (NPI# 1992812390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992812390 |
| Entity Type | Individual |
| Full Name | DR. TIE S. ONG |
| Credential | M.D. |
| Practice Address |
700 W Grove St El Dorado AR 71730-4416 |
| Mailing Address |
611 Thompson Ave P.o. Box 506 El Dorado AR 71730-4557 |
| Practice Telephone | 8708621577 |
| Mailing Telephone | 8708621577 |
| Mailing Fax Number | 8708625916 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R3031 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | GRP.'S MCARE PROV.# | 5C070 | 01 |
| AR | ST. MED.LICENSE # | R3031 | 01 |
| Street Address |
700 W GROVE ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615551 | Nes Arkansas, Inc. | Emergency Medicine | 700 W Grove St, El Dorado, AR 71730-4416 | 2005-11-03 |
| 1154935757 | Lauren Roberts | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2020-09-02 |
| 1508486150 | Maci Steele | Registered Nurse | 700 W Grove St, El Dorado, AR 71730-4416 | 2020-04-23 |
| 1386109536 | Sheila Ann Hayes | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2019-02-01 |
| 1861966228 | Donna Renae Ramsey | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730 | 2019-01-17 |
| 1770088445 | Ladonna Marie Young | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2018-03-26 |
| 1679081285 | Levi Nathaniel Maggard | Nurse Anesthetist, Certified Registered | 700 W Grove St, El Dorado, AR 71730-4416 | 2018-01-17 |
| 1578000287 | Stephanie Michele Dunn | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2017-01-20 |
| 1285088146 | Jessica Laurin Zimmer | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2016-04-18 |
| 1821450479 | Tyler Alan Neal | Hospitalist | 700 W Grove St, El Dorado, AR 71730-4416 | 2016-03-23 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417164559 | Neurology and Sleep Disorder Center of South Arkansas | Specialist | 300 Thompson Ave, El Dorado, AR 71730-4569 | 2007-05-17 |
| 1659594521 | Ross Lowery | Specialist | 702 E 6th St, El Dorado, AR 71730-4012 | 2007-04-10 |
| 1295849495 | John J Jucas | Specialist | 525 W Faulkner St, El Dorado, AR 71730-4518 | 2006-08-18 |
| 1871580704 | Richard Edward Dietzen | Specialist | 403 W Oak St, Suite 302, El Dorado, AR 71730-4586 | 2005-10-05 |
| 1396732335 | Charles D Daniels | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2005-10-04 |
| 1548599988 | Interventional and Diagnostic Radiology of South Arkansas, P.a. | Specialist | 700 W Grove St, El Dorado, AR 71730-4416 | 2009-12-14 |
| 1114174893 | Womens Health Butler County P.a. | Specialist | 700 W Central Ave, Suite 412, El Dorado, KS 67042-2184 | 2008-08-25 |
| 1639348725 | Laura Lea Stevens | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2008-02-22 |
| 1598978801 | South Ar Surgical Clinic of El Dorado, Inc | Specialist | 815 Thompson Ave, El Dorado, AR 71730-4464 | 2007-05-07 |
| 1265654727 | Sarah Saffold | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2007-05-03 |
| 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.