Individual provider Active NPI

Samuel W. Norwood II, M.D.

  • Emergency Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1336164144
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-3404 Issued in AR
Practice address
2215 Wildwood Ave
North Little Rock, AR 72120
Phone
(501) 552-7100
NPI assigned
Jul 13, 2006
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-3404 AR Primary

Addresses

Primary practice location

2215 Wildwood Ave
North Little Rock, AR 72120

Mailing address

PO Box 56111
Little Rock, AR 72215-6111
Phone (501) 552-3951

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
I20031125000829 AR Practitioner - Emergency Medicine 8527962091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-3404ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest City Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Forrest City Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 15, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 15, 2020 Accepting new patients
Arkansas Pathology Associates PA Past Accepting new patients
St. Dominic Jackson Memorial Emergency Medicine Past Accepting new patients
Living Hope Medical Services LLC Past Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients

Locations

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1336164144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56111",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722156111",
            "telephone_number": "501-552-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "501-552-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWOOD",
        "first_name": "SAMUEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-3404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.