DR. SAMUEL EUGENE BLEDSOE


Address: 7 Shackleford West Blvd, Little Rock, AR 72211
Phone: 5016645860

DR. SAMUEL EUGENE BLEDSOE (NPI# 1033367446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033367446
Entity Type Individual
Full Name DR. SAMUEL EUGENE BLEDSOE
Credential M.D.
Practice Address 7 Shackleford West Blvd
Little Rock
AR 72211
Mailing Address 7 Shackleford West Blvd
Little Rock
AR 72211-3886
Practice Telephone 5016645860
Practice Fax Number 5016876342
Mailing Telephone 5016645860
Mailing Fax Number 5016876342
Enumeration Date 2008-08-28
Last Update Date 2019-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 26885 AL Other Service Providers
Y 208600000X Surgery E10172 AR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3311 Prescott Rd, Suite 201, Alexandria, LA 713013900 3184426767 3184411359

Office Location

Street Address 7 SHACKLEFORD WEST BLVD
City LITTLE ROCK
State AR
Zip Code 72211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861485302 Scott L Beau Internal Medicine 7 Shackleford West Blvd, Little Rock, AR 72211 2005-08-30
1801411285 Allyson D Carroll Dietitian, Registered 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2020-06-11
1104476720 Abigail Grace Connerly Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-09-16
1013560655 Angela Denise Cheves Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-07-23
1922565233 Crystal E Meziere Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-22
1134685217 Felicia Mae Johnson Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-14
1588132948 Lauren Elizabeth Mcbride Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-11-05
1144705047 Cassandra Love Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-09-27
1457832842 Marissa Boggs Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-08-24
1568955441 Jared H Umland Physician Assistant 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295154789 Nolan R Bruce Surgery 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 2014-04-10
1366888711 Raj Patel Surgery 4100 Outpatient Cirlce, 616, Little Rock, AR 72205 2013-05-13
1386987766 Rebecca Empting Bittenbinder Surgery 400 Jack Stephens Dr Fl 2, Little Rock, AR 72205 2013-04-03
1275859076 Kyla Rae Shelton Surgery 4301 W Markham St # 520-2, Little Rock, AR 72205-7101 2010-04-19
1972837615 John W. Baker, Md, Pa Surgery 1 Lile Ct Ste 103, Little Rock, AR 72205-6239 2009-09-29
1104076439 Lawrence Edward Greiten Surgery 1 Childrens Way # 200, Little Rock, AR 72202 2008-09-23
1063671949 Patrick Pakkee Szeto Surgery 701 N University Ave Ste 203, Little Rock, AR 72205-2936 2008-06-05
1700057098 Emilio Tirado, M.d. Pa Surgery 500 N University Ave, Ste 808, Little Rock, AR 72205 2008-03-14
1508058462 William Dale Morris Jr. Surgery 12924 Crystal Valley Rd, Little Rock, AR 72210-4715 2007-08-15
1720289945 Anna Nicole Rinewalt Surgery 1 Childrens Way # 210, Little Rock, AR 72202-3500 2007-05-29
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Competitor

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City LITTLE ROCK
Zip Code 72211

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Dataset Information

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.

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