South Arkansas Womens Clinic PLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

N/A

Legal business name

SOUTH ARKANSAS WOMENS CLINIC PLC

Practice address

706 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 863-8444

Fax

(870) 863-7540

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Holly A. Monroe

Title

Office Manager

Phone

(870) 863-8444

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Gregory Booker, M.D.

  • Obstetrics & Gynecology Physician
  • El Dorado, AR
  • NPI 1720015373

  AR, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Adriane Delaney, APRN

  • Women's Health Nurse Practitioner
  • Magnolia, AR
  • NPI 1578923116

  AR

  Medicare reassignment Care Compare group NPD
• John Baxter Ratcliff, M.D.

  • Obstetrics & Gynecology Physician
  • El Dorado, AR
  • NPI 1063449692

  AR, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Donya Burroughs Watson, M.D.

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1396773735

  AR

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1366487811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-8444",
            "fax_number": "870-863-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-8444",
            "fax_number": "870-863-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS WOMENS CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-863-8444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CH6503",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145638002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Arkansas Regional Hospital LLC
• South Arkansas Regional Hospital LLC
• South Arkansas RT Associates LLC
• South Arkansas Substance Abuse
• South Arkansas Substance Abuse
• South Arkansas Youth Services, Inc
• South Central Hospitalists, LLP
• South Point Healthcare PC
• Steven Clark South, DC
• Southark Imaging LLC

• All providers in El Dorado, AR
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.