Ouachita Physician Services, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

OUACHITA PHYSICIAN SERVICES, LLC

Practice address

476 Hospital Dr
Camden, AR 71701-4616

Phone

(870) 836-8462

NPI assigned

Apr 24, 2015

Last updated

Jul 14, 2015By 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

Jamie Wood

Title

Authorized Official

Phone

(870) 836-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ouachita Physician Services

  dba Ouachita Women's Services

  • Primary Care Clinic/Center
  • Camden, AR
  • NPI 1750651857

  O20120308000662

  Same enrollment
• Ouachita Physician Services, LLC

  • Surgery Physician
  • Camden, AR
  • NPI 1215479159

  O20120308000662

  Same enrollment
• Ouachita Physician Services, LLC

  dba Family Clinic of Ouachita County

  • Family Medicine Physician
  • Camden, AR
  • NPI 1467095463

  O20120308000662

  Same enrollment

Tax ID family

Ouachita Physician Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ouachita Physician Services

  dba Ouachita Women's Services

  • Primary Care Clinic/Center
  • Camden, AR
  • NPI 1750651857
  NPD tax ID

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.

• Irfan Riaz Qureshi, M.D.

  • Surgical Critical Care Physician
  • Pine Bluff, AR
  • NPI 1881853133
  NPD

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1235526476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014616",
            "telephone_number": "870-836-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUACHITA PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "870-836-1000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ouachita County Medical Center
• Ouachita County Medical Services
• Ouachita Enrichment Centers, Inc.
• Ouachita Physician Services (Ouachita Women's Services)
• Ouachita Physician Services, LLC
• Ouachita Physician Services, LLC (Family Clinic of Ouachita County)
• Abigail Grace Parker, PHARM D
• Perkins & Arnold, PLLC
• Joannie Phelps, LAC
• Mark E. Pickett, DDS

• Multi-Specialty Clinic/Center in Camden, AR
• Providers in Camden, AR by specialty
• Multi-Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.