MEDICARE: RICHARD B CHITSEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	E2094	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679547301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD B CHITSEY M.D.

Provider Business Mailing Address
First Line	:	724 N SPRING ST
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-2913
Country	:	US
Telephone Number	:	870-743-2448
Fax Number	:	870-741-2449

Provider Business Practice Location Address
First Line	:	724 N SPRING ST
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-2913
Country	:	US
Telephone Number	:	870-743-2448
Fax Number	:	870-741-2449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	04/17/2025

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