Organization Active NPI

Drew Professional Services LLC

  • Obstetrics & Gynecology Physician
  • Monticello, AR
National Provider Identifier
1841548427
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DREW PROFESSIONAL SERVICES LLC
Practice address
778 Scogin Dr
Monticello, AR 71655-5729
Phone
(870) 367-9700
Fax
(870) 460-0077
NPI assigned
Aug 29, 2012
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Melodie Colwell
Title
Cfo
Phone
(870) 460-3569

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

778 Scogin Dr
Monticello, AR 71655-5729

Mailing address

750 H L Ross Dr
Monticello, AR 71655-5705
Phone (870) 367-9700

Other identifiers 1

IdentifierTypeStateIssuer
167896002MedicaidAR

National Provider Directory

National Provider Directory

Locations

750 H L Ross Dr
Monticello, AR 71655
Phone (870) 367-3922

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1841548427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 H L ROSS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555705",
            "telephone_number": "870-367-9700",
            "fax_number": "870-460-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-367-9700",
            "fax_number": "870-460-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "COLWELL",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-460-3569"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167896002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.