Emery Green, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-441 Issued in AR

Practice address

700 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 864-3391

NPI assigned

Apr 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Emery Camp Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CHI St Vincent Hospital Hot Springs

  • Emergency Medicine Physician
  • Hot Springs, AR
  • NPI 1790723021
  Medicare reassignment NPD
• Concord Company of Arkansas PLLC

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1457833014
  Medicare reassignment
• Ess of El Dorado, LLC

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1861851131
  Medicare reassignment
• HCC of El Dorado LLC

  • Hospitalist Physician
  • El Dorado, AR
  • NPI 1003578725
  Medicare reassignment
• South Arkansas Emergency Physicians LLP

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1942435458
  Medicare reassignment
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  AR

  Medicare reassignment
• CHI St Vincent Hospital Hot Springs

  • Psychiatric Hospital Unit
  • Hot Springs, AR
  • NPI 1619915949
  NPD
• South Arkansas Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Siloam Springs, AR
  • NPI 1225452055

  Physician Assistant

  NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1417246794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-864-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-864-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "EMERY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200434",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMERY",
            "last_name": "CAMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Wayne Goudeau, RPH
• Grace Point, LLC
• Graceful Guardians & Caregivers, LLC
• Gianna M Grant, APN
• Jerry H Grant, MD
• Michelle Green
• Roderick Green
• Greg Smart Family Practice
• Gregg L Massanelli Mdpa
• Allison Walker Griffin, MS, CCC-SLP

• Physician Assistant in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.