EZECHIEL R. NEHUS, MD, PA - NPI 1871569269 - Otolaryngology in Russellville, AR

Q: What is the provider's specialty?

The provider's specialty is Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.

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About Ezechiel R. Nehus, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZECHIEL R. NEHUS, MD, PA (NPI 1871569269) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Russellville, Arkansas and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Ezechiel R. Nehus, Owner, as its authorized official.

NPPES Registry Identity

NPI1871569269

Entity TypeOrganization

Primary Taxonomy207YX0905X

Legal Business NameEZECHIEL R. NEHUS, MD, PA

Location Address200 N QUANAH AVERussellville, AR 72801-2762

Mailing Address200 N Quanah AveRussellville, AR 72801-2762 · (479) 890-0368 · Fax (479) 890-7368

Phone(479) 890-0368

Fax(479) 890-7368

Organization SubpartNo

Authorized OfficialEzechiel R. NehusOwner · (479) 890-0368

Enumeration DateFebruary 24, 2006

Last NPPES UpdateDecember 15, 2010

✔ NPI 1871569269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

200 N QUANAH AVE, Russellville, AR 72801

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Other Identifiers 3

Medicaid156455002AR

Medicare ID-Type Unspecified5F313AR

Other5F313AR · Arkansas Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2143280

Ezechiel R Nehus · Russellville, AR

Active · expires Jan 25, 2028

CLIA Number04D2143280

Laboratory TypePhysician Office

Certificate Effective DateJanuary 26, 2026

Certificate Expiration DateJanuary 25, 2028

Laboratory DirectorDr. Ezechiel R. Nehus

Laboratory Phone(479) 890-0368

Laboratory LocationEzechiel R Nehus200 North Quanah Avenue, Russellville, AR 72801

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. EZECHIEL R. NEHUS MD

Otolaryngology (Otolaryngology/Facial Plastic Surgery)