East Arkansas Emergency Physicians, PLLC
Organization Active NPI Emergency Medicine Physician · Clarksville, AR
NPI 1609259753 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1609259753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EAST ARKANSAS EMERGENCY PHYSICIANS, PLLC
- Practice address
- 1100 E Poplar St
Clarksville, AR 72830-4419 - Phone
- (479) 754-5454
- NPI assigned
- Jul 8, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. David S. Schillinger, M.D.
- Title
- President
- Phone
- (800) 893-9698
Other NPIs on the same Medicare enrollment 3
Practitioners 103
-
Bhavika P Albee, MD
-
Crystal Lynn Baldwin, APRN
-
Laurie Ann Beam, APRN
-
Thomas J Beasley, MD
-
Johnna Suzanne Boggs, CNP
-
Jill Allison Brown, FNP-C
-
Angel Bynum, NP
-
Roger Earl Cagle, M.D.
-
Chester L. Carlson, D.O.
-
Douglas Eugene Carlson, D.O.
-
Deborah Anne Cook, M.D.
-
Joseph Allen Cook, M.D.
-
Janet H Covey, ANP
-
Jennifer J Craig, M.D.
-
Sasha Renae Domerese, NP-C
-
James David Dye, MD
-
Marjorie Antenor Edwards, M.D.
-
Joel Rodman Epperson Jr., M.D.
-
Courtney N Floyd, PA
-
Alisa Fujihashi, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131018000502 | AR | Part B Supplier - Clinic/Group Practice | 5698909067 |
Receives reassigned benefits from 108 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Blytheville, AR; Clarksville, AR; Osceola, AR; Paragould, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1100 E Poplar St
Clarksville, AR 72830-4419
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212791002 | Medicaid | AR | |
| DU3528 | Other | AR | RR MCR |
| 314088 | Other | AR | MEDICARE PIN |
Other providers in Clarksville, AR
- Joseph David Dunaway
- John C Dunham
- Katie Elizabeth Dunkel
- Staci Yvonne Duvall
- Benjamin Eakin
- Tommy Clifton Eddy
- Andrea M Edgmon
- Jocelyn Egan
- Elite EMS of Arkansas
- Cassandra Lynn Elledge
All providers in Clarksville, AR · Emergency Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.