Active NPI
Samuel H Arnold III, D O
- Surgery Physician
- Warren, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-2458
- Practice address
- 404 S Bradley St
Warren, AR 71671-3459 - Phone
- (870) 226-3731
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Warren, AR
- NPI 1194741611
-
- Medicare Defined Swing Bed Hospital Unit
- Warren, AR
- NPI 1861519548
-
- Critical Access Hospital
- Warren, AR
- NPI 1972620649
-
- Emergency Care Clinic/Center
- Camden, AR
- NPI 1346354826
-
- Rural Health Clinic/Center
- Warren, AR
- NPI 1174044697
-
- Surgery Physician
- Monticello, AR
- NPI 1700287885
NPD SURGERY -
- Rural Acute Care Hospital
- Camden, AR
- NPI 1245284769
-
- Primary Care Clinic/Center
- Camden, AR
- NPI 1750651857
-
- Surgery Physician
- Camden, AR
- NPI 1215479159
NPD SURGERY -
- Legal Medicine
- Hope, AR
- NPI 1619036498
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060510000030 | AR | Practitioner - General Surgery | 0042221780 |
Reassigns benefits to 4 organizations Practice locations: Camden, AR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ouachita County Medical Center | Current |
Accepting new patients | |
| Bradley County Medical Center | Current |
Accepting new patients | |
| Ouachita Physician Services, LLC | Surgery | Current |
Accepting new patients |
| Bradley County Medical Center | Current |
Accepting new patients | |
| Ouachita Physician Services | Current |
Accepting new patients | |
| Bradley County Medical Center | Current |
Accepting new patients | |
| Drew Surgical Services LLC | Surgery | Current |
Accepting new patients |
| Ouachita County Medical Center | Current |
Accepting new patients | |
| Bradley County Medical Center | Current |
Accepting new patients | |
| McLean & D G Clinic | Past | Accepting new patients |
Locations
415 Hospital Dr
Ste 3
Camden, AR 71701
Phone (260) 415-5387
476 Hospital Dr
Camden, AR 71701
Phone (870) 800-9002
638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000
778 Scogin Dr
Spc Llc
Monticello, AR 71655
Phone (870) 460-3515
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/bradley-49d5c27e
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E-2458 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
404 S Bradley St
Warren, AR 71671-3459
Mailing address
1316 S Highway 7
Sparkman, AR 71763-8674
Phone (870) 807-4255
Other identifiers 6
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164416640 | Other | QUALCHOICE | |
| 5181488 | Other | AETNA | |
| 141442003 | Medicaid | AR | |
| 207122 | Other | HEALTHLINK | |
| 0000129360506 | Other | UNITED HEALTH CARE | |
| 020053473 | Other | RAILROAD MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2024.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1164416640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 S HIGHWAY 7",
"city": "SPARKMAN",
"state": "AR",
"postal_code": "717638674",
"telephone_number": "870-807-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 S BRADLEY ST",
"city": "WARREN",
"state": "AR",
"postal_code": "716713459",
"telephone_number": "870-226-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "SAMUEL",
"middle_name": "H",
"name_suffix": "III",
"credential": "D O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-2458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "1164416640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5181488",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141442003",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "207122",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0000129360506",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020053473",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.