Active NPI
Drew Professional Services LLC
- Obstetrics & Gynecology Physician
- Monticello, AR
National Provider Identifier
1841548427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167896002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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
- Drew Memorial Hospital, Inc. (Drew Anesthesia)
- Drew Memorial Hospital, Inc. (Drew Memorial Reference Lab)
- Drew Memorial Hospital, Inc.
- Drew Operations, LLC (Belle View Estates Rehabilitation and Care Center)
- Drew Professional Services
- Drew SNF Operations LLC (Belle View Rehabilitation And Care Center)
- Drew Surgical Services LLC (Drew Surgical Specialists LLC)
- Laura Olmstead Durmon, SLP
- Arnesha Edington
- Emily Stell LPC
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.