Dr Orin Paul Trentham Iii, MD | |
1808 W Main St, Russellville, AR 72801-2724 | |
(479) 968-2841 | |
Not Available |
Full Name | Dr Orin Paul Trentham Iii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1808 W Main St, Russellville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992740260 | NPI | - | NPPES |
100165470B | Medicaid | KS | |
100181910A | Medicaid | OK | |
207744806 | Medicaid | MO | |
9296 | Other | MO | ANTHEM |
110111900 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | E-12463 (Arkansas) | Secondary |
207R00000X | Internal Medicine | 106911 (Missouri) | Primary |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Select Specialty Hospital Springfield Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215116827 PECOS PAC ID: 9638250764 Enrollment ID: O20100724000047 |
Mailing Address | Practice Location Address |
---|---|
Dr Orin Paul Trentham Iii, MD 5515 Impala Dr, Joplin, MO 64804-8293 Ph: (417) 540-1036 | Dr Orin Paul Trentham Iii, MD 1808 W Main St, Russellville, AR 72801-2724 Ph: (479) 968-2841 |
Stephen C. Dobratz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 W Main St, Russellville, AR 72801 Phone: 479-968-4311 Fax: 479-968-4399 | |
James Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 | |
Kathryn I Parker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7194 | |
Abdul Hakeem, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 Fax: 479-964-5910 | |
Dr. Zoltan Varga, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 W Main St, Russellville, AR 72801 Phone: 479-968-4311 Fax: 479-968-4399 | |
Drew Courtney Heiple, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Skyline Dr, Russellville, AR 72801 Phone: 479-498-4661 Fax: 501-321-0710 | |
Sheharyar Ali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 W Main St, Russellville, AR 72801 Phone: 479-968-4311 Fax: 479-968-4399 |