Arkansas Center for Women, LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E0704 Issued in AR

Legal business name

ARKANSAS CENTER FOR WOMEN, LTD

Practice address

1609 W 40TH Ave
Suite 203
Pine Bluff, AR 71603-6319

Phone

(840) 534-4900

Fax

(870) 534-8341

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Dean Shrum, D.O.NPI 1427028638

Title

President

Phone

(870) 534-4900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Dean Shrum, DO

  • Obstetrics & Gynecology Physician
  • Monticello, AR
  • NPI 1427028638
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205977196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE",
            "address_2": "SUITE 203",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036319",
            "telephone_number": "840-534-4900",
            "fax_number": "870-534-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE",
            "address_2": "SUITE 203",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036319",
            "telephone_number": "840-534-4900",
            "fax_number": "870-534-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS CENTER FOR WOMEN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRUM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-534-4900",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E0704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Area Agency on Aging of Southeast Arkansas Inc
• Arkansas
• Arkansas Cancer Clinic - Radiation Oncology, PA
• Arkansas Cancer Clinic PA
• Arkansas Cancer Clinic, PA (Arkansas Cancer Institute)
• Arkansas Children's Hospital (Arkansas Children's Hospital Pine Bluff Clinic)
• Arkansas Foot & Ankle Clinic, PA (Bryant Foot & Ankle Clinic)
• Arkansas Medical Center
• Arkansas Nephrology & Hypertension Clinic PA
• Arkansas Surgery & Endoscopy Center (Asec)

• Obstetrics & Gynecology Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.