Benton Emergency Group LLC
Organization Active NPI Emergency Medicine Physician · Bentonville, AR
NPI 1720187214 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1720187214
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BENTON EMERGENCY GROUP LLC
- Practice address
- 3000 Medical Center Pkwy
Bentonville, AR 72712-3217 - Phone
- (800) 893-9698
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- William C Schumacher, M.D.
- Title
- Ceo
- Phone
- (800) 893-9698
Practitioners 19
-
Charles R Akin, M.D.
-
Patric Anderson, MD
-
Holly Bohannan, CRNA MSNA
-
Marjorie Antenor Edwards, M.D.
-
Joel Shane Hardin, M.D.
-
Todd William Logsdon, M.D.
-
David Shane McAlister, M.D.
-
Ernest McClinton, M.D.
-
John M Rayburn, MD
-
Richard Duane Tutt, M.D.
-
James N Wise, MD
-
Mark A. Cameron, MD
-
Masoomeh Djodeir, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
3000 Medical Center Pkwy
Bentonville, AR 72712-3217
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other providers in Bentonville, AR
- Milaya Bell
- Amy Bemis
- Bentley Elizabeth Bennett
- Brea Ann Bennett
- David Benson
- Benton Neurocare Inc.
- Benton Nursing, LLC
- Bentonville Ambulatory Surgery Center, LLC
- Bentonville Anesthesia PLLC
- Bentonville Assisted Living Services
All providers in Bentonville, 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 Oct 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.