EMBRACE FMO (NPI# 1417554015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417554015 |
| Entity Type | Organization |
| Organization Name | EMBRACE FMO |
| Practice Address |
1502 Se 28th St Ste 2 Bentonville AR 72712-0076 |
| Practice Telephone | 4792684774 |
| Practice Fax Number | 4792683451 |
| Mailing Telephone | 4792684774 |
| Mailing Fax Number | 4792683451 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | JENNIFER SCHROEDER (PRESIDENT) |
| Authorized Official Telephone | 4796162741 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1502 SE 28TH ST STE 2 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-0076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439302 | Northwest Arkansas Integrated Medical, Inc | Family Medicine | 1300 Se 14th St Ste 2, Bentonville, AR 72712-6814 | 2019-10-28 |
| 1477940971 | Shawn L Brummett | Family Medicine | 4100 Sw I St Ste 200, Bentonville, AR 72712 | 2015-04-22 |
| 1336569532 | Patrick Tyler Greenburg | Family Medicine | 7001 Sw Regional Airport Blvd Ste 1, Bentonville, AR 72712 | 2014-04-26 |
| 1962766840 | Christopher B Carter | Family Medicine | 2900 Se Moberly Ln, Bentonville, AR 72712-3748 | 2012-06-26 |
| 1194040865 | Raja Sekhar Reddy Dondeti | Family Medicine | 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72716-0001 | 2010-04-06 |
| 1376706614 | Larry Bryan Mabry | Family Medicine | 2900 Moberly Lane, Bentonville, AR 72712-3748 | 2008-07-08 |
| 1083768618 | Gregory Ryan Spears | Family Medicine | 601 Sw Regional Airport Blvd, Bentonville, AR 72713-9256 | 2007-01-22 |
| 1245387091 | Kimberly Joy Emerson | Family Medicine | 903 Se 28th St, Suite 1, Bentonville, AR 72712-3880 | 2007-01-04 |
| 1386672392 | Scott Randall Musick | Family Medicine | 1102 Nw Lowe's Ave, Suite 2, Bentonville, AR 72712 | 2006-06-29 |
| 1700844396 | James H Arkins | Family Medicine | 1000 Se 13th Court, Bentonville, AR 72712 | 2006-05-03 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.