NPIMap

Individual provider Active NPI

Elizabeth Eoff, M.D.

  • Family Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1851827679
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-12485 Issued in AR
Practice address
1601 W 40TH Ave
Pine Bluff, AR 71603-6069
Phone
(870) 541-6000
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X E-12485 AR
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X E-12485 AR Primary

Addresses

Primary practice location

1601 W 40TH Ave
Pine Bluff, AR 71603-6069

Mailing address

PO Box 251420
Little Rock, AR 72225-1420
Phone (501) 686-8000

Other practice location 1

3417 U Of A Way
Texarkana, AR 71854-1419
Phone (870) 779-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105001508 AR Practitioner - Family Practice 9739454489 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

1601 W 40TH Ave
Pine Bluff, AR 71603-6069
Phone (870) 541-6000

2422 N Thompson St
Springdale, AR 72764-1757
Phone (479) 750-6585

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

Hospital & facility affiliations

  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-12485ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Care Consultants of Fordyce LLC CurrentSince Nov 15, 2019 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Jul 3, 2021 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Ess of Fordyce LLC CurrentSince Nov 15, 2019 Accepting new patients

Locations

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

629 Jack Stephens Dr
Little Rock, AR 72205
Phone (501) 526-5770

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1601 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7611

300 E 6th St
Texarkana, AR 71854
Phone (870) 779-6000

3417 U of a Way
Texarkana, AR 71854
Phone (870) 779-6000

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1851827679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251420",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251420",
            "telephone_number": "501-686-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 40TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036069",
            "telephone_number": "870-541-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 U Of A Way",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718541419",
            "country_code": "US",
            "telephone_number": "870-779-6000",
            "fax_number": "870-779-6093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EOFF",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E-12485",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.