Individual provider Active NPI

Samuel H Arnold III, D O

  • Surgery Physician
  • Warren, AR
National Provider Identifier
1164416640
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-2458 Issued in AR
Practice address
404 S Bradley St
Warren, AR 71671-3459
Phone
(870) 226-3731
NPI assigned
Sep 9, 2005
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-2458 AR Primary

Addresses

Primary practice location

404 S Bradley St
Warren, AR 71671-3459

Mailing address

1316 S Highway 7
Sparkman, AR 71763-8674
Phone (870) 807-4255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060510000030 AR Practitioner - General Surgery 0042221780 Reassigns benefits to 4 organizations
Practice locations: Camden, AR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-2458ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley County Medical Center CurrentSince Aug 28, 2023 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Ouachita Physician Services, LLC Surgery CurrentSince Mar 22, 2017 Accepting new patients
Ouachita County Medical Center CurrentSince Jan 12, 2019 Accepting new patients
Ouachita County Medical Center CurrentSince Jan 12, 2019 Accepting new patients
Drew Surgical Services LLC Surgery CurrentSince Sep 1, 2022 Accepting new patients
Ouachita Physician Services CurrentSince Mar 22, 2017 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Bradley County Medical Center CurrentSince Aug 28, 2023 Accepting new patients
McLean & D G Clinic Past Accepting new patients

Locations

415 Hospital Dr
Ste 3
Camden, AR 71701
Phone (870) 837-2888

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
Monticello, AR 71655
Phone (870) 367-2411

778 Scogin Dr
Spc Llc
Monticello, AR 71655
Phone (870) 460-3515

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/bradley-49d5c27e

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.