SOUTHEASTERN WELLNESS SERVICES – NPI #1962038174
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

SOUTHEASTERN WELLNESS SERVICES is a provider located in HOT SPRINGS, AR. NPPES has assigned the NPI number 1962038174 to SOUTHEASTERN WELLNESS SERVICES on March 19, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 3 years ago on Jul 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN WELLNESS SERVICES below.

NPI Profile for
SOUTHEASTERN WELLNESS SERVICES

NPI Number
1962038174
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN WELLNESS SERVICES
Primary location
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913-6912
Phone: (501) 651-2000 Fax:
Mailing address
11401 N RODNEY PARHAM RD STE 4
LITTLE ROCK, AR 72212-4168
Phone: (501) 223-9948 Fax:
Organization Subpart
No
Authorized Official
JEFF BORDELON
OWNER
Phone: (501) 223-9948
Updated
Certification Date
Jul 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.