SPRINGDALE EMERGENCY GROUP LLC (NPI# 1104926427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104926427 |
| Entity Type | Organization |
| Organization Name | SPRINGDALE EMERGENCY GROUP LLC |
| Practice Address |
609 W Maple Ave Springdale AR 72764-5335 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 8008939698 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-10-10 |
| Authorized Official Name | WILLIAM C SCHUMACHER (CEO) |
| Authorized Official Telephone | 8008939698 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
609 W MAPLE AVE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676272 | Regency Hospital of Northwest Arkansas, LLC | Long Term Care Hospital | 609 W Maple Ave, 6th Floor, Springdale, AR 72764-5335 | 2005-08-12 |
| 1356957799 | Victoria Ashley Sollestre | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-09-21 |
| 1588279475 | Ashley Early | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5394 | 2020-09-09 |
| 1710504931 | Sandra Lee Moore | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-07-03 |
| 1386291656 | Dominique Ann Ertolacci | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-08-21 |
| 1861055204 | Dustin J Franklin | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-22 |
| 1407419278 | Samuel Tanner Burks | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-17 |
| 1285199133 | Shelby Lane Harrison | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-02-05 |
| 1750865929 | Teqienna Dianne Randall | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-09-24 |
| 1588144182 | David R Massey Md Pllc | Psychiatry & Neurology | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649632886 | Cesar Hurtado | Emergency Medicine | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 | 2016-03-26 |
| 1437356326 | Brian W Grantham | Emergency Medicine | 509 E Maple Ave, Springdale, AR 72764-5539 | 2007-07-02 |
| 1417908401 | Mark R. Rucker | Emergency Medicine | 6642 Wells Circle, Springdale, AR 72762 | 2006-05-13 |
| 1629599287 | Michelle Nicole Phillips | Emergency Medicine | 2601 Gene George Blvd, Springdale, AR 72762 | 2017-07-03 |
| 1720519812 | Jaquelyn Risa Wilansky | Emergency Medicine | 2158 Butterfield Coach Rd Ste 100, Springdale, AR 72764-9142 | 2017-03-21 |
| 1275957375 | South Central Hospitalists, LLP | Emergency Medicine | 609 W Maple Ave, Springdale, AR 72764-5335 | 2014-02-10 |
| 1104247881 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 1160 S 40th St, Springdale, AR 72762-4832 | 2013-12-23 |
| 1013350255 | Craig Anthony Sheedy | Emergency Medicine | 609 W Maple Ave, Springdale, AR 72764-5335 | 2013-04-08 |
| 1659660314 | Clinton Charles Turner | Emergency Medicine | 1109 S West End St, Springdale, AR 72764-5228 | 2011-04-04 |
| 1831400852 | Adam Baird Mccall | Emergency Medicine | 5501 Willow Creek Dr, Ste 104, Springdale, AR 72762 | 2010-06-24 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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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.