Jeremy Wayne Saul, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E5488 Issued in AR

Practice address

700 E Parkway Dr
Russellville, AR 72801-4202

Phone

(479) 567-5770

Fax

(795) 675-1044

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jeremy.saul.1@14285.direct.athenahealth.com

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.

• Sparta Corp

  dba Streamline Clinic

  • Family Medicine Physician
  • Russellville, AR
  • NPI 1508233701
  Authorized official Same address or phone
• Chicot Memorial Hospital

  • Critical Access Hospital
  • Lake Village, AR
  • NPI 1497701973
  NPD (past)
• De Queen Medical Center Inc

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1154423523
  NPD (past)
• St Marys Physician Services, LLC

  dba Cardiology Associates of North Central Arkansas

  • Interventional Cardiology Physician
  • Russellville, AR
  • NPI 1720356207
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1437350600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "800-824-4094",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E PARKWAY DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014202",
            "telephone_number": "479-567-5770",
            "fax_number": "795-675-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "JEREMY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5488",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167951001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Nash Sanders
• Olivia Paige Sanson, ACSM-CEP, EIM3
• Hilenne Santos Encarnacion
• Jessica Santos-Sanchez
• Stephanie Santos
• Hanah Marie Savage
• Valina G Schembra
• Joseph Schenck
• Nadjie Schiavo-Kendrick, CASE MANAGER PARA PR
• Sarah Schrimsher

• Family Medicine Physician in Russellville, AR
• Providers in Russellville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.