MISENHEIMER MEDICAL, LLC (NPI# 1770933673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770933673 |
| Entity Type | Organization |
| Organization Name | MISENHEIMER MEDICAL, LLC |
| Practice Address |
117 Oakhurst Blvd El Dorado AR 71730-3736 |
| Practice Telephone | 8709186684 |
| Mailing Telephone | 8709186684 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | MRS. AMBROSIA ALEXANDRA MISENHEIMER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8709186684 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
A004788 | AR | Ambulatory Health Care Facilities |
| Street Address |
117 OAKHURST BLVD |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-3736 |
| 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 | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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| 1962883520 | Gray-millenbaugh Practitioner Healthcare, LLC | Clinic/Center | 3801 Camden Rd, Chapel Village 1 Suite 12, Pine Bluff, AR 71603-4612 | 2015-06-09 |
| 1811222839 | Southwest Medical Advisors Inc | Clinic/Center | 405 W 16th St, Suite B, Hope, AR 71801-7104 | 2009-10-08 |
| 1033283171 | Associated Healthcare Systems of Randolph County, Inc. | Clinic/Center | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2006-11-20 |
| 1881776987 | University of Arkansas Medical Sciences, Ahec Pine Bluff | Clinic/Center | 4747 Dusty Lake Dr, Ste 203, Pine Bluff, AR 71603-8742 | 2006-10-19 |
| 1346354826 | Ouachita County Medical Center | Clinic/Center | 638 California Ave Sw, Camden, AR 71701-4604 | 2006-08-19 |
| 1154358307 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1447206735 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1730137134 | Mercy Hospital Waldron | Clinic/Center | 1341 W 6th St, Waldron, AR 72958-7642 | 2006-05-05 |
| 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.