SOUTHEAST ARKANSAS EMERGENCY PHYSICIANS LLP (NPI# 1467817411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467817411 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST ARKANSAS EMERGENCY PHYSICIANS LLP |
| Practice Address |
4201 S Mulberry St Pine Bluff AR 71603-7016 |
| Mailing Address |
75 Remit Dr # 1103 Chicago IL 60675-1103 |
| Practice Telephone | 8669165259 |
| Mailing Telephone | 8002107034 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | DERIK K KING (MANAGING PARTNER) |
| Authorized Official Telephone | 8669165259 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922475078 | Southeast Arkansas Emergency Physicians LLP | Emergency Medicine | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2015-08-25 |
| Street Address |
4201 S MULBERRY ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-7016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295761419 | South Arkansas Heart & Vascular Associates, P.a. | Specialist | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2006-06-23 |
| 1487001848 | Mai Salah Abd Alqader | Family Medicine | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2016-05-16 |
| 1346580172 | Kristin K Martn Do Pa | Clinic/Center | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2013-02-14 |
| 1174858831 | Pulaski Care Inc | Clinical Medical Laboratory | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2009-10-13 |
| 1649320227 | Medical Associates Pa Lab | Clinical Medical Laboratory | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2007-01-12 |
| 1457436214 | Jefferson Hospital Association | Internal Medicine | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2006-10-27 |
| 1386670057 | Medical Associates Plc | Internal Medicine | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| 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 |
|---|---|---|---|---|
| 1760839120 | Nana-aishatu U Adamu | Emergency Medicine | 1401 S State St Ste C, Pine Bluff, AR 71601-5827 | 2016-05-16 |
| 1154784882 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5510 S Olive Street, Pine Bluff, AR 71603-7607 | 2016-03-31 |
| 1760916365 | Mohammed Malik | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2017-04-20 |
| 1407380082 | Alexander Leigh Hargis | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2017-04-20 |
| 1922475078 | Southeast Arkansas Emergency Physicians LLP | Emergency Medicine | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2015-08-25 |
| 1588042246 | Joshua Tennyson | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2015-05-14 |
| 1699153338 | Teresa Bau | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2015-05-14 |
| 1053725499 | Mohanned Hassan Mohammed Ahmed | Emergency Medicine | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2014-06-13 |
| 1578976908 | Abrar Khan | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2014-06-03 |
| 1235542739 | Jermey Jones | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2014-06-03 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on SOUTHEAST ARKANSAS EMERGENCY PHYSICIANS LLP.
| 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.