Individual provider Active NPI

Elizabeth Sue Ross Chambers, M.D.

  • Pediatrics Physician
  • Harrison, AR
National Provider Identifier
1629044672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C3267 Issued in AR
Practice address
715 W Sherman Ave
Suite G
Harrison, AR 72601-2743
Phone
(870) 741-8247
Fax
(870) 741-3933
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C3267 AR Primary

Addresses

Primary practice location

715 W Sherman Ave
Suite G
Harrison, AR 72601-2743

Mailing address

81 Cam Ragland Rd
Harrison, AR 72601-9518
Phone (870) 741-8247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Family Practice Clinic, PA Past Accepting new patients

Organizations & group practices 1

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629044672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CAM RAGLAND RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019518",
            "telephone_number": "870-741-8247",
            "fax_number": "870-741-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W SHERMAN AVE",
            "address_2": "SUITE G",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012743",
            "telephone_number": "870-741-8247",
            "fax_number": "870-741-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS CHAMBERS",
        "first_name": "ELIZABETH",
        "middle_name": "SUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C3267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.