South Arkansas Medical Associates Idtf

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF

Doing business as

SAMA HealthCare Services IDTF

Practice address

600 S Timberlane Dr
El Dorado, AR 71730-6990

Phone

(870) 862-2400

Fax

(870) 862-1891

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Jerry E Detwiler

Title

Administrator

Phone

(870) 864-8120

Specialties & licenses 1

Addresses

Other names 1

• SAMA HealthCare Services IDTF Doing business as

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508802034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S TIMBERLANE DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306990",
            "telephone_number": "870-862-2400",
            "fax_number": "870-862-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S TIMBERLANE DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306990",
            "telephone_number": "870-862-2400",
            "fax_number": "870-862-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-864-8120"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMA HealthCare Services IDTF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Arkansas Developmental Center for Children and Families
• South Arkansas Diagnostic Clinic
• South Arkansas Emergency Physicians LLP (Arkansas Hospitalist Physicians LLP)
• South Arkansas Emergency Physicians LLP
• South Arkansas Eye Clinic PLLC
• South Arkansas Medical Associates PLLC (SAMA HealthCare Services)
• South Arkansas Oil Co (Midsouth Pharmacy)
• South Arkansas Open MRI LLC
• South Arkansas Oral Surgery and Implant Center
• South Arkansas Orthopaedics and Sports Medicine Center PLLC (South Arkansas Orthopaedics)

• Radiology Clinic/Center in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Radiology Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.