Monticello Ess LLC
Organization Active NPI Emergency Medicine Physician · Monticello, AR
NPI 1184010753 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1184010753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- MONTICELLO ESS LLC
- Practice address
- 778 Scogin Dr
Monticello, AR 71655-5729 - Phone
- (870) 367-2411
- NPI assigned
- Apr 10, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Ron Weiss
- Title
- Ceo
- Phone
- (866) 931-8882
Member of 1
Practitioners 123
-
David A. Dias, M.D.
-
Salman F Hashmi, MD
-
Robert R. Jacobs, D.O.
-
Karol Palczynski, MD
-
Sania Sayani, MD
-
Nasir Zareen, M.D.
-
Hassan Alakshar, MD
-
Ronald Wayne Barnett Jr., M.D.
-
Stephen K. Blackburn, M.D.
-
Robin I. Bohra, MD
-
Lyle Jackson Burdine, M.D. PH.D.
-
Remel Carino Buslig, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150519002625 | AR | Part B Supplier - Clinic/Group Practice | 4880914639 |
Receives reassigned benefits from 123 practitioners Practice locations: Monticello, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
778 Scogin Dr
Monticello, AR 71655-5729
Mailing address
17304 Preston Rd
Suite 1400
Dallas, TX 75252-5618
Phone (866) 931-8882
Other providers in Monticello, AR
- Monticello Ambulance Service Inc.
- Monticello Dental Center PLLC
- Monticello Drug Company LLC
- Monticello Drug Company LLC
- Monticello Drug Inc
- Monticello Healthcare Center, LLC
- Monticello Medical Clinic PLC
- Monticello Progressive Eldercare Services Inc
- Monticello School District
- Monticello Surgical Associates,PA
All providers in Monticello, AR · Emergency Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.