Select Medical Supplies of Arkansas, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MG01007 Issued in AR

Legal business name

SELECT MEDICAL SUPPLIES OF ARKANSAS, INC.

Practice address

24 Southpark Shopping Ctr
Nashville, AR 71852-3307

Phone

(870) 845-3813

Fax

(870) 845-3808

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Olga Wesson

Title

President

Phone

(917) 562-8007

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Tuck

  • Pedorthist
  • Nashville, AR
  • NPI 1043561855
  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1982911798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SOUTHPARK SHOPPING CTR",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523307",
            "telephone_number": "870-845-3813",
            "fax_number": "870-845-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SOUTHPARK SHOPPING CTR",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523307",
            "telephone_number": "870-845-3813",
            "fax_number": "870-845-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT MEDICAL SUPPLIES OF ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "WESSON",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-562-8007"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG01007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189835716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4T128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lashell Satterfield
• John Charles Sayre, M.D.
• Karsen Schaeffer
• Mary Diane Schooley, MHPPLPN
• Barbara A. Segovis, P.T.
• Chloe Sherman
• Jacquelyn Ann Shurden
• Saleen Silva
• Destiny Simington
• Sitzes Family Dentistry

• All providers in Nashville, AR
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.