Ozark Geriatrics of Harrison LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A01409 Issued in AR

Legal business name

OZARK GERIATRICS OF HARRISON LLC

Practice address

6166 Highway 206 W
Harrison, AR 72601-9235

Phone

(870) 365-2829

Fax

(870) 741-2763

NPI assigned

Apr 10, 2017

Last updated

Aug 30, 2022By 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

Amanda ChitseyNPI 1265401160

Title

Owner

Phone

(870) 365-7441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 5

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.

• Amanda Chitsey, APN

  • Nurse Practitioner
  • Harrison, AR
  • NPI 1265401160
  Medicare reassignment Authorized official
• Richard B Chitsey, M.D.

  • Internal Medicine Physician
  • Harrison, AR
  • NPI 1679547301
  Medicare reassignment NPD
• Amanda Cope, CNP

  • Primary Care Nurse Practitioner
  • Harrison, AR
  • NPI 1033661798
  Medicare reassignment NPD
• William Edward Smart Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, MO
  • NPI 1801155270
  NPD
• Anthony Travis Thrower, CRNA

  • Certified Registered Nurse Anesthetist
  • Joplin, MO
  • NPI 1972032035
  NPD

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1417480161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 HIGHWAY 206 W",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 HIGHWAY 206 W",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019235",
            "telephone_number": "870-365-2829",
            "fax_number": "870-741-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK GERIATRICS OF HARRISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CHITSEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-365-7441"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A01409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wiliam Bradford Otwell
• Oxygen Services of America LLC
• Ozark Agility Professionals LLC
• Ozark Chiropractic Arts
• Ozark Family Practice, PA
• Ozark Mountain School District
• Ozark Orthopedic Associates, LTD.
• Ozark Unlimited Cooperative
• Ozarks Orthodontics PLLC
• Ozarks Unlimited Resource Educational Cooperative

• Adult Health Nurse Practitioner in Harrison, AR
• Providers in Harrison, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.