Nicholas Souder, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

E18406 Issued in AR

Practice address

3 Medical PLZ
Mountain Home, AR 72653-2918

Phone

(870) 424-3400

Fax

(870) 424-4121

NPI assigned

Nov 19, 2008

Last updated

Sep 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AR2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

Texas Tech University Health Science Center School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Orthopaedic Health CareGroup PAC ID 1052446051, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Home Health Home health agency, Cotter, AR, CCN 047016
• Baxter Health Hospital, Mountain Home, AR, CCN 040027
• Baxter Health Fulton County Hospital Hospital, Salem, AR, CCN 041322

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regional Orthopaedic Health Care

  dba Twin Lakes Orthopaedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Mountain Home, AR
  • NPI 1568477123
  Medicare reassignment Care Compare group NPD
• Childress County Hospital District

  dba Fox Rural Health Clinic

  • Rural Health Clinic/Center
  • Childress, TX
  • NPI 1902995525
  Medicare reassignment
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baxter County Regional Hospital Inc

  dba BRMC Professional Fees

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  dba Baxter Health Home Health

  • Home Health Agency
  • Cotter, AR
  • NPI 1396779278
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  dba Baxter Health

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  Care Compare affiliation
• Baxter Health Fulton County Hospital

  • Critical Access Hospital
  • Salem, AR
  • NPI 1376391177
  Care Compare affiliation

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1598910481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-424-3400",
            "fax_number": "870-424-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-424-3400",
            "fax_number": "870-424-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDER",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E18406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Smyth, OTRL
• Snell Prosthetic & Orthotic Laboratory
• John B Solomon
• Brian Austin Sommer, PA-C
• Jo-Ann Sorokunov, RPH
• Southern Home Healthcare Inc
• Kristopher Sperry
• Jennifer Ann Spore, R.D.
• John Michael Spore, MD
• Springfield Neurological and Spine Institute

• Orthopaedic Surgery Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Orthopaedic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.