The Womens Clinic of Forrest City

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C5392 Issued in AR

Legal business name

THE WOMENS CLINIC OF FORREST CITY

Practice address

210 S Rhodes St
West Memphis, AR 72301-1687

Phone

(870) 732-5448

Fax

(870) 732-1734

NPI assigned

Feb 27, 2006

Last updated

Aug 22, 2020By 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. James P Derossitt III, M.D.NPI 1356317507

Title

Owner

Phone

(870) 732-5448

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• James Prentice Derossitt, M.D.

  • Obstetrics & Gynecology Physician
  • West Memphis, AR
  • NPI 1356317507
  Authorized official Same address or phone

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982670113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723031687",
            "telephone_number": "870-732-5448",
            "fax_number": "870-732-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011687",
            "telephone_number": "870-732-5448",
            "fax_number": "870-732-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMENS CLINIC OF FORREST CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEROSSITT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-732-5448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C5392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Alema Tanner, ANP
• Amanda Taylor, LCSW
• Jacquelyn Taylor, RN
• The Treatment Camp
• The West Clinic, PLLC
• Therapeutic Alliance (Therapeutic & Educational Solutions)
• Therapeutic Focus, L.L.C.
• Karen Thomas, RN
• Melanie Thomas
• Emily Thompson, DPT

• Obstetrics & Gynecology Physician in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.