SDS Emergency Staffing LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SDS EMERGENCY STAFFING LLC

Practice address

200 N 3Rd St
Dardanelle, AR 72834-3802

Phone

(479) 229-4677

NPI assigned

Sep 8, 2017

Last updated

Mar 17, 2018By 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

Steve Risher

Title

Owner

Phone

(318) 226-8202

Specialties & licenses 1

Addresses

Locations

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.

• Robert E Phillippe, CRNA

  • Anesthesiology Physician
  • Berryville, AR
  • NPI 1588612931
  NPD (past)
• Tylynn Farmer, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1124124987
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1902324007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 TEXAS ST STE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 3RD ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343802",
            "telephone_number": "479-229-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Norris St",
            "address_purpose": "LOCATION",
            "city": "Eureka Springs",
            "state": "AR",
            "postal_code": "726323541",
            "country_code": "US",
            "telephone_number": "479-253-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SDS EMERGENCY STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RISHER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-226-8202"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diedra Anne Rogers
• Kaci Rood, PHARM D
• Rose Drug of Dover, Inc (Berry Drug of Dardanelle)
• Rose Drug of Dover, Inc (Berry Drug of Dardanelle)
• William Patrick Scott, MD
• Matthew Self, MD
• Jill M Sheets, P.D.
• Tanna Shockley, APRN
• Charles Burrell Smith Jr., D.C.
• Annette Kay Snider, LCSW

• Emergency Medicine Physician in Dardanelle, AR
• Providers in Dardanelle, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.