Individual provider Active NPI

Douglas E. Seglem, D.O.

  • Neonatal-Perinatal Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1497876460
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
E-5281 Issued in AR
Practice address
7301 Rogers Ave
Fort Smith, AR 72903
Phone
(479) 314-4635
Fax
(479) 314-4634
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X E-5281 AR Primary

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903

Mailing address

P.O. Box 11350
Fort Smith, AR 72917
Phone (479) 314-4635

Other identifiers 1

IdentifierTypeStateIssuer
174236003MedicaidAR

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
I20080811000795 AR Practitioner - Emergency Medicine 9830263714 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5281ARMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Neonatal-Perinatal Medicine CurrentSince Feb 3, 2020 Accepting new patients
Arkansas Children'S Hospital CurrentSince Feb 3, 2020 Accepting new patients
Arkansas Childrens Hospital CurrentSince Feb 3, 2020 Accepting new patients
St Bernards Hospital Inc. CurrentSince Jul 1, 2015 Accepting new patients
Newborn Regional Providers PLC Neonatal-Perinatal Medicine PastSince Sep 23, 2024 Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

800 Marshall St
#663
Little Rock, AR 72202

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Ste 653
Little Rock, AR 72202

Interoperability endpoints

  • Direct secure messaging: dseglem48110@washingtonregional.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1497876460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11350",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72917",
            "telephone_number": "479-314-4635",
            "fax_number": "479-314-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-314-4635",
            "fax_number": "479-314-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGLEM",
        "first_name": "DOUGLAS",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AR",
            "license": "E-5281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174236003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.