Phillips Landing Emergency Physicians LLC

Key facts

NPI

1710210786

Entity type

Organization (NPI type 2)

Primary specialty

Emergency Medicine Physician 207P00000X

Legal business name

PHILLIPS LANDING EMERGENCY PHYSICIANS LLC

Practice address

E. Main and S. 20TH Street
Van Buren, AR 72956-5322

Phone

(479) 474-3401

NPI assigned

Sep 9, 2009

Organization subpart

No

Authorized official

Name

Kathleen Kondas

Title

Officer

Phone

(954) 838-2371

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Archer, M.D. Emergency Medicine Physician · Little Rock, AR · NPI 1396783106
  NPD (past) EMERGENCY MEDICINE
• Kelly Crowe, M.D. Emergency Medicine Physician · Little Rock, AR · NPI 1942446810
  NPD (past) EMERGENCY MEDICINE
• Ralph Martin Maxwell, DO Family Medicine Physician · Dumas, AR · NPI 1295722668
  NPD (past)
• Lloyd E Ruff, M.D. Surgery Physician · Danville, AR · NPI 1972530921
  NPD (past) EMERGENCY MEDICINE
• Chadwick Leon Simpson, M. D. Emergency Medicine Physician · Harrison, AR · NPI 1508990730
  NPD (past) EMERGENCY MEDICINE
• Ashraf M Diab, M.D. Internal Medicine Physician · Springfield Gardens, NY · NPI 1902072077
  NPD (past) MULTI-SPECIALTY
• Charles C Glendenning, D.O. Hospitalist Physician · Fort Riley, KS · NPI 1285603647
  NPD (past)
• Moussa Yazbeck, M.D. Critical Care Medicine (Internal Medicine) Physician · Walnut Creek, CA · NPI 1760415855
  NPD (past)

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2019.

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1710210786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E. MAIN AND S. 20TH STREET",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565322",
            "telephone_number": "479-474-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS LANDING EMERGENCY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

• Irish Rain Patton
• Denise Paxton
• Misha Cherice Perez Martinez
• Sally Perry
• Cheryl L Peters
• Heather Grace Phillips
• Amanda Philpott
• Valerie Plummer
• Pointer Trail Family Clinic PLLC
• Pointer Trail Health and Rehabilitation, LLC

All providers in Van Buren, AR · Emergency Medicine Physician in Arkansas