Active NPI
Orin Paul Trentham III, MD
- Internal Medicine Physician
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 106911
- Practice address
- 1808 W Main St
Russellville, AR 72801-2724 - Phone
- (479) 968-2841
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-12463 | AR | |
| Internal Medicine Physician | 207R00000X | 106911 | MO | Primary |
Addresses
Primary practice location
1808 W Main St
Russellville, AR 72801-2724
Mailing address
5515 Impala Dr
Joplin, MO 64804-8293
Phone (417) 540-1036
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100165470B | Medicaid | KS | |
| 100181910A | Medicaid | OK | |
| 207744806 | Medicaid | MO | |
| 9296 | Other | MO | ANTHEM |
| 110111900 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071114000050 | MO | Practitioner - Internal Medicine | 1850489568 | Reassigns benefits to 2 organizations |
| I20200319002706 | AR | Practitioner - Internal Medicine | 1850489568 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Health Group
Practice addresses (Care Compare)
1701 Club Manor Dr
Suite 2B
Maumelle, AR 72113-7401
Phone (501) 851-7402
Hospital & facility affiliations
- Baptist Health Medical Center- Conway
- CHI St. Vincent Hospital Hot Springs
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12463 | AR | MD | Internal Medicine Physician |
| 106911 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health | Current | Accepting new patients | |
| Select Specialty Hospital Springfield Inc | Current | Accepting new patients | |
| St Mary'S Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Select Specialty Hospital Springfield Inc | Current | Accepting new patients | |
| St Marys Physician Services, LLC | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Baptist Health | Current | Accepting new patients | |
| Arkansas Health Group | Internal Medicine | Current | Accepting new patients |
| St Marys Physician Services, LLC | Past | Accepting new patients | |
| Southeast Hospital | Past | Accepting new patients |
Locations
9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1701 Club Manor Dr
#2B
Maumelle, AR 72113
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
1701 Club Manor Dr
Ste 2B
North Little Rock, AR 72113
Phone (501) 812-7216
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Interoperability endpoints
- otrentham387911@direct.baptist-healthar.org
Organizations & group practices 11
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.
-
- General Practice Physician
- Russellville, AR
- NPI 1124084991
AR, Internal Medicine
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
MO
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Multi-Specialty Clinic/Center
- Heber Springs, AR
- NPI 1932081221
-
- Durable Medical Equipment & Medical Supplies
- Russellville, AR
- NPI 1063626117
-
- Long Term Care Hospital
- Springfield, MO
- NPI 1215116827
-
- Interventional Cardiology Physician
- Russellville, AR
- NPI 1720356207
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
Hospital
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
Hospital
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1992740260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 IMPALA DR",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648048293",
"telephone_number": "417-540-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012724",
"telephone_number": "479-968-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENTHAM",
"first_name": "ORIN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-12463",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "106911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100165470B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100181910A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207744806",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "9296",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110111900",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.