Individual provider Active NPI

Ezinne Charity Nwude, M.D.

  • Emergency Medicine Physician
  • El Dorado, AR
National Provider Identifier
1710273891
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-8288 Issued in AR
Practice address
100 E Church St
El Dorado, AR 71730-4602
Phone
(870) 862-2331
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X E-8288 AR Primary

Addresses

Primary practice location

100 E Church St
El Dorado, AR 71730-4602

Mailing address

100 E Church St
El Dorado, AR 71730-4602
Phone (870) 862-2331

Other practice location 1

701 N West Ave
El Dorado, AR 71730-4654
Phone (870) 862-2331

Other identifiers 1

IdentifierTypeStateIssuer
204862001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140724001443 AR Practitioner - Family PracticePractitioner - Emergency Medicine 3274759493 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 E Church St
El Dorado, AR 71730-4602
Phone (870) 862-2331

425 W Oak St
El Dorado, AR 71730-4566
Phone (870) 862-2331

500 N Main St
Junction City, AR 71749-9597
Phone (870) 862-2331

Hospital & facility affiliations

  • South Arkansas Home Health Home health agency, El Dorado, AR, CCN 047021
  • Kindred at Home Home health agency, Camden, AR, CCN 047844
  • South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Arkansas Hospitalists, LLP CurrentSince Oct 2, 2021 Accepting new patients
Gold Cross Urgent Care, LLC CurrentSince Jun 1, 2015 Accepting new patients
Ess of El Dorado, LLC Emergency Medicine CurrentSince Apr 20, 2016 Accepting new patients
Gold Cross Urgent Care, LLC CurrentSince Jun 17, 2017 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Dec 24, 2017 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Dec 24, 2017 Accepting new patients
William L. Harper, M.D., P.a. PastSince Sep 1, 2011 Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

701 N West Ave
El Dorado, AR 71730
Phone (870) 466-4308

100 E Church St
El Dorado, AR 71730
Phone (870) 510-1281

701 N West Ave
Ste 1
El Dorado, AR 71730

425 W Oak St
El Dorado, AR 71730
Phone (870) 862-2331

500 N Main St
Junction City, AR 71749
Phone (870) 862-2331

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

Interoperability endpoints

  • Direct secure messaging: ezinne.nwude.1@29315.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1710273891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CHURCH ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304602",
            "telephone_number": "870-862-2331",
            "fax_number": "870-862-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CHURCH ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304602",
            "telephone_number": "870-862-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N West Ave",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717304654",
            "country_code": "US",
            "telephone_number": "870-862-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWUDE",
        "first_name": "EZINNE",
        "middle_name": "CHARITY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-8288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204862001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.