Pierrette Larisse Laure Tantchou, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-8326 Issued in AR

Practice address

813 Founders Park Dr E Ste 101
Springdale, AR 72762-6321

Phone

(479) 463-2333

Fax

(479) 463-2357

NPI assigned

Jun 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Washington Regional Medical System

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1326376419
  Medicare reassignment NPD
• American Current Care, P.a.

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1275651002
  Medicare reassignment NPD
• Washington Regional Medical System

  • Endocrinology, Diabetes & Metabolism Physician
  • Fayetteville, AR
  • NPI 1255758868
  NPD
• Washington Regional Medical System

  • Family Medicine Physician
  • Farmington, AR
  • NPI 1275839011
  NPD
• American Current Care P.a.

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1083806822
  NPD
• American Current Care P.a.

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1720374804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E CINNAMON WAY",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034536",
            "telephone_number": "856-283-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FOUNDERS PARK DR E STE 101",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626321",
            "telephone_number": "479-463-2333",
            "fax_number": "479-463-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTCHOU",
        "first_name": "PIERRETTE",
        "middle_name": "LARISSE LAURE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-8326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202222001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Swetnam, MD
• Benjamin Swysgood
• Ryan Edward Sylvester, LPC, NCC, CCMHC
• Kristina Ta
• Grace E Tandoh, MHPP
• Merritt Grace White Tate, ED.S.
• Jamika Lashondra Tatum, PT
• Anna Grace Taylor
• Bethany Grace Taylor, PA
• Clinton H Taylor, MD

• Family Medicine Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.