SOUTHEASTERN INTENSIVIST SERVICES PC (NPI# 1912942665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912942665 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN INTENSIVIST SERVICES PC |
| Practice Address |
2100 N 7th St West Memphis AR 72301-2017 |
| Mailing Address |
Po Box 635134 Cincinnati OH 45263-5134 |
| Practice Telephone | 8707333020 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | DR. RANDAL L DABBS (PRESIDENT) |
| Authorized Official Telephone | 8656931000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3733831 | 05 |
| Street Address |
2100 N 7TH ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437634524 | Baptist Memorial Hospital - Crittenden Inc | General Acute Care Hospital | 2100 N 7th St, West Memphis, AR 72301-2017 | 2018-09-25 |
| 1063907244 | Lifelinc Anesthesia V, P.a. | Nurse Anesthetist, Certified Registered | 2100 N 7th St, West Memphis, AR 72301-2017 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1043865082 | Sean Luke Davidson | Hospitalist | 3305 Malloy St, Little Rock, AR 72204-4480 | 2019-08-06 |
| 1932520764 | South Arkansas Emergency Physicians, LLP | Hospitalist | 4301 Johnson Mill Blvd, Johnson, AR 72741-0001 | 2013-12-20 |
| 1447671490 | South Arkansas Emergency Physicians, LLP | Hospitalist | 3000 Se Medical Center Pkwy, Bentonville, AR 72712-3217 | 2013-12-18 |
| 1033454723 | Prime Physicians LLC | Hospitalist | 5808 Callaway Ln, Fort Smith, AR 72916-8437 | 2012-12-06 |
| 1316204746 | Stephanie Michelle Henkel | Hospitalist | 2710s Rife Medical Ln, Rogers, AR 72758-1452 | 2012-04-23 |
| 1629366471 | Chandra Shekhar Dasari | Hospitalist | 4301 W Markham St # 795, Little Rock, AR 72205-7101 | 2011-07-14 |
| 1316230816 | Joe David May | Hospitalist | 8072 Ironstone Dr, Alexander, AR 72002-5007 | 2011-05-17 |
| 1740411511 | Chandra S Lingisetty | Hospitalist | College Avenue, 2302 Conway Regional Medical Center, Conway, AR 72034 | 2009-07-28 |
| 1821282526 | Abhijit Shivkumar | Hospitalist | 225 E Jackson, St Bernards Medical Center, Jonesboro, AR 72401-3119 | 2007-09-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.