| South Arkansas Medical Associates Pllc | |
|
600 S Timberlane Dr El Dorado AR 71730-6990 | |
| (870) 862-2400 | |
| (870) 862-1891 |
| Full Name | South Arkansas Medical Associates Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 S Timberlane Dr, El Dorado, Arkansas |
| Authorized Official Name and Position | Pete Marshall Atkinson (ADMINISTRATOR) |
| Authorized Official Contact | 8708622400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Arkansas Medical Associates Pllc 600 S Timberlane Dr El Dorado AR 71730-6990 Ph: (870) 862-2400 | South Arkansas Medical Associates Pllc 600 S Timberlane Dr El Dorado AR 71730-6990 Ph: (870) 862-2400 |
| NPI Number | 1235290735 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0749177855 |
|---|---|
| Medicare Enrollment ID | O20040303000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235290735 | NPI | - | NPPES |
| 152320002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (Arkansas) | Primary |
| Provider Name | Patricia R Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710152640 PECOS PAC ID: 4880685346 Enrollment ID: I20040521001354 |
| Provider Name | Erin B Goss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861526121 PECOS PAC ID: 1355481417 Enrollment ID: I20091221000573 |
| Provider Name | Russell E Hatley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932194974 PECOS PAC ID: 3678609591 Enrollment ID: I20100330001264 |
| Provider Name | Matthew Callaway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770578718 PECOS PAC ID: 0840326328 Enrollment ID: I20100414000222 |
| Provider Name | Gary L Bevill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538154570 PECOS PAC ID: 9133016256 Enrollment ID: I20100506000553 |
| Provider Name | Deanna Lynn Hopson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548329857 PECOS PAC ID: 1153552435 Enrollment ID: I20140331000784 |
| Provider Name | Rebecca Jan Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023449550 PECOS PAC ID: 6305060781 Enrollment ID: I20140605001544 |
| Provider Name | Christina L Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194166199 PECOS PAC ID: 1052635711 Enrollment ID: I20160721000293 |
| Provider Name | Ambrosia A Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740735323 PECOS PAC ID: 4688960644 Enrollment ID: I20160831001391 |
| Provider Name | Shahreen Chowdhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760892756 PECOS PAC ID: 9234453952 Enrollment ID: I20170831002979 |
| Provider Name | Tori L Laduke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811556715 PECOS PAC ID: 2769713411 Enrollment ID: I20191009003575 |
| Provider Name | Lauren Mccloy Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154935757 PECOS PAC ID: 9032529458 Enrollment ID: I20201113000118 |
| Provider Name | Brittney Nicole Pearcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124617105 PECOS PAC ID: 7214344886 Enrollment ID: I20210326000399 |
| Provider Name | Casey L Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730854241 PECOS PAC ID: 1153729231 Enrollment ID: I20211004001195 |
| Provider Name | Heather Camille Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366103939 PECOS PAC ID: 7113311770 Enrollment ID: I20220224000192 |
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