Ezechiel R. Nehus, MD, PA

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

EZECHIEL R. NEHUS, MD, PA

Practice address

200 N Quanah Ave
Russellville, AR 72801-2762

Phone

(479) 890-0368

Fax

(479) 890-7368

NPI assigned

Feb 24, 2006

Last updated

Dec 15, 2010By 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

Dr. Ezechiel R. Nehus, MDNPI 1912973306

Title

Owner

Phone

(479) 890-0368

Specialties & licenses 1

Addresses

Other identifiers 2

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

Practitioners 2

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.

• Ezechiel R. Nehus, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Russellville, AR
  • NPI 1912973306
  Medicare reassignment NPD Authorized official
• Charles Palmer, AU.D.

  • Audiologist
  • Russellville, AR
  • NPI 1831214972
  Medicare reassignment NPD

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1871569269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N QUANAH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012762",
            "telephone_number": "479-890-0368",
            "fax_number": "479-890-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N QUANAH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012762",
            "telephone_number": "479-890-0368",
            "fax_number": "479-890-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZECHIEL R. NEHUS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "NEHUS",
        "authorized_official_first_name": "EZECHIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-890-0368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5F313",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156455002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Lynn Eppes
• Equestrian Zone
• Lisa Anne Erwin, ATC
• Michael Wayne Escue, MD
• Exceptional Hearing LLC (Russellville Hearing Clinic)
• Hannah Mae Fairchild, OD
• Faith Rising Therapy, LLC
• Family Eye Care of Russellville
• Heaven Farmer
• Symphony Farmer

• Otolaryngology/Facial Plastic Surgery Physician in Russellville, AR
• Providers in Russellville, AR by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.