EL DORADO WELLNESS CENTER LLC (NPI# 1033587720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033587720 |
| Entity Type | Organization |
| Organization Name | EL DORADO WELLNESS CENTER LLC |
| Practice Address |
431 Thompson Ave Suite B El Dorado AR 71730-4553 |
| Practice Telephone | 8708649962 |
| Mailing Telephone | 8708649962 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Authorized Official Name | VERONICA SEGRETO (OWNER) |
| Authorized Official Telephone | 8708649962 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
431 THOMPSON AVE SUITE B |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992188999 | El Dorado Wellness Center Pllc | Clinic/Center | 431 Thompson Ave, Suite B, El Dorado, AR 71730-4553 | 2015-07-08 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580996 | Hmdod LLC | Internal Medicine | 403 W Oak St Ste 101, El Dorado, AR 71730-4573 | 2019-10-25 |
| 1689735326 | Mcsa LLC | Internal Medicine | 702 W Grove St, El Dorado, AR 71730 | 2006-12-13 |
| 1407087224 | Daniel D. Schrader, M.d. P.l.l.c. | Internal Medicine | 704 W Grove St, Suite 7, El Dorado, AR 71730-4416 | 2009-07-28 |
| 1699983635 | Harvinder S Dod | Internal Medicine | 700 W Grove St, El Dorado, AR 71730-4416 | 2007-05-21 |
| 1548292386 | Donald J Voelker | Internal Medicine | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-06 |
| 1689634982 | Daniel D Schrader | Internal Medicine | 704 W Grove St, Suite 7, El Dorado, AR 71730-4416 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1083160899 | Baptist Health | Internal Medicine | 625 United Dr, Suite 220, Conway, AR 72032-7826 | 2016-08-31 |
| 1467820928 | Octavio Herrera-verdugo | Internal Medicine | 1225 Breckenridge Dr Ste 110, Little Rock, AR 72205-1565 | 2015-09-14 |
| 1225389588 | Van Buren Hma, LLC | Internal Medicine | 2010 Chestnut St Ste 1, Van Buren, AR 72956-5321 | 2012-09-27 |
| 1902163389 | Central Arkansas Heart Center | Internal Medicine | 650 United Drive, Ste 300, Conway, AR 72032 | 2012-04-23 |
| 1356635411 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 2790 Bella Vista Way, Bella Vista, AR 72714-3706 | 2011-06-07 |
| 1124317854 | Wesley Martin Fiser | Internal Medicine | 9501 Baptist Health Dr Ste 600, Little Rock, AR 72205 | 2011-04-04 |
| 1821307943 | James William Wilson | Internal Medicine | 1000 Miller Creek Rd., Batesville, AR 72501 | 2010-10-07 |
| 1861706046 | Yazan Zuhair Ghosheh | Internal Medicine | 4000 Richards Rd Ste A, North Little Rock, AR 72117-2939 | 2010-07-30 |
| 1942439120 | Ammc Physician Services, Inc | Internal Medicine | 1000 W Kingshighway Ste 9, Paragould, AR 72450-4197 | 2009-07-08 |
| Find all providers with the same taxonomy | ||||
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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.