Family Care of Southern Arkansas, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-1050 Issued in AR

Legal business name

FAMILY CARE OF SOUTHERN ARKANSAS, LTD

Practice address

3108 N West Ave
El Dorado, AR 71730-2731

Phone

(870) 863-9020

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert A Watson II, MDNPI 1417060286

Title

MD/Owner

Phone

(870) 863-9020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert A Watson II, MD

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1417060286
  Medicare reassignment Care Compare group NPD Authorized official
• Vanessa Nicole Barnes, APRN

  • Family Nurse Practitioner
  • El Dorado, AR
  • NPI 1194311498
  Medicare reassignment Care Compare group NPD
• Clinton Avery Netherland, M.D.

  • Family Medicine Physician
  • Smackover, AR
  • NPI 1235130444
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1790050466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316",
            "telephone_number": "501-812-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 N WEST AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717302731",
            "telephone_number": "870-863-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE OF SOUTHERN ARKANSAS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "870-863-9020",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Evans
• Megan Evans, MSN, APRN, FNP-C
• Byron L. Eyre, MD
• Mariah Fairley
• Anna Fairris, PT, DPT
• Family Chiropractic Center
• Lacey Head Farrar, MSN, AG-ACNP, FNP
• Constance Leeann Farris, APRN
• Father Bob Allen Charitable Clinic (Interfaith Clinic)
• David Allen Faulkner

• Family Medicine Physician in El Dorado, AR
• Providers in El Dorado, 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 Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.