Ozark Senior Healthcare, PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

E03402 Issued in AR

Legal business name

OZARK SENIOR HEALTHCARE, PLLC

Practice address

210 S Thompson St Ste 4a
Springdale, AR 72764-4261

Phone

(794) 459-9004

Fax

(479) 213-8142

NPI assigned

May 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bilal E NaeemNPI 1316901994

Title

Manager

Phone

(479) 927-1044

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bilal Naeem, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Springdale, AR
  • NPI 1316901994
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Burks, FNP-CNP

  • Family Nurse Practitioner
  • Springdale, AR
  • NPI 1063102994
  Medicare reassignment Care Compare group
• Kimberly Dawn Burner, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Garfield, AR
  • NPI 1487704524
  Medicare reassignment NPD
• Michael Lowell Moulton, MD

  • Nephrology Physician
  • Springdale, AR
  • NPI 1558397489
  Medicare reassignment NPD
• Jennifer Oxford, APRN

  • Primary Care Nurse Practitioner
  • Fayetteville, AR
  • NPI 1114300100
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1124347380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "800-824-4094",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S THOMPSON ST STE 4A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644261",
            "telephone_number": "794-459-9004",
            "fax_number": "479-213-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK SENIOR HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "BILAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-927-1044",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E03402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148445001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD / PALMETTO",
            "identifier": "P00853324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ozark Eyes, PLLC
• Ozark Guidance Center, Inc
• Ozark Guidance Center, Inc
• Ozark Guidance Center, Inc
• Ozark Laser and Surgery Center
• Alan Padilla Ramos, MD
• Lorena Aimee Padilla, CNP
• Viviana Pagan, MHPP
• Daniel Patrick Page, MHPP
• Foster Page, LAC

• Geriatric Medicine (Internal Medicine) Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.