Samuel G. Meredith MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SAMUEL G. MEREDITH MD PA

Doing business as

samuel g. meredith md pa

Practice address

1229 State Highway 77 Ste 1
Marion, AR 72364-9050

Phone

(870) 735-4400

Fax

(870) 735-4412

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Janet M Skillern, RN

Title

Office Manager

Phone

(870) 735-4400

Specialties & licenses 1

Addresses

Other names 1

• samuel g. meredith md pa Doing business as

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1790257442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 STATE HIGHWAY 77 STE 1",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649050",
            "telephone_number": "870-735-4400",
            "fax_number": "870-735-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 STATE HIGHWAY 77 STE 1",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649050",
            "telephone_number": "870-735-4400",
            "fax_number": "870-735-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL G. MEREDITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "SKILLERN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-735-4400",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "samuel g. meredith md pa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antuanita Caressa Ross
• Kendra Ross
• Leann Ruddick, PT
• Van Elina Ruffin, MHPP
• Juanita Cassie Rutledge, CASE MANAGER
• Ilsa Sanchez, M.D
• Shiquita Sanders
• Janice Scales, R.N.
• Richard Lance Scarbrough
• Sarah Anderson Schafer, PTA

• Orthopaedic Surgery Physician in Marion, AR
• Providers in Marion, AR by specialty
• Orthopaedic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.