DR. JENNIFER ANN MINNEMAN (NPI# 1003105289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003105289 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANN MINNEMAN |
| Credential | MD |
| Practice Address |
5 Saint Vincent Cir Little Rock AR 72205-5412 |
| Mailing Address |
Po Box 21647 Tampa FL 33622-1647 |
| Practice Telephone | 8138661959 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD60855907 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
5 SAINT VINCENT CIR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585752 | Larry L Nguyen | Orthopaedic Surgery | 5 Saint Vincent Cir, Suite 100, Little Rock, AR 72205-5412 | 2005-08-17 |
| 1063050573 | Mgh Surgicalist Pllc | Surgery | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 | 2019-12-16 |
| 1376903823 | Shannon Diane Hoey | Nurse Practitioner | 5 Saint Vincent Cir, Suite 501, Little Rock, AR 72205-5412 | 2016-02-26 |
| 1467832170 | Keith Sholes | Pharmacist | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 | 2015-06-08 |
| 1407249311 | Tiffanie Boyce | Physician Assistant | 5 Saint Vincent Cir, Ste 100, Little Rock, AR 72205-5415 | 2015-03-17 |
| 1629470521 | Little Rock Neurosurgery Clinic | Nurse Practitioner | 5 Saint Vincent Cir, Suite 502, Little Rock, AR 72205-5412 | 2014-09-23 |
| 1932448792 | Arkansas Ophthalmology Associates, P.a. | Ophthalmology | 5 Saint Vincent Cir, Suite 200, Little Rock, AR 72205-5412 | 2013-02-13 |
| 1003170085 | Justin Scott Shipp | Specialist/Technologist | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 | 2012-06-25 |
| 1346551314 | Thurston Matthew Bauer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Saint Vincent Cir, Suite 501, Little Rock, AR 72205-5412 | 2010-06-24 |
| 1962642900 | Martin Bowen Hefley Knee & Sports Med. Ctr. | Physical Therapist | 5 Saint Vincent Cir, Suite 100, Little Rock, AR 72205-5412 | 2009-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154789 | Nolan R Bruce | Surgery | 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 | 2014-04-10 |
| 1366888711 | Raj Patel | Surgery | 4100 Outpatient Cirlce, 616, Little Rock, AR 72205 | 2013-05-13 |
| 1386987766 | Rebecca Empting Bittenbinder | Surgery | 400 Jack Stephens Dr Fl 2, Little Rock, AR 72205 | 2013-04-03 |
| 1275859076 | Kyla Rae Shelton | Surgery | 4301 W Markham St # 520-2, Little Rock, AR 72205-7101 | 2010-04-19 |
| 1972837615 | John W. Baker, Md, Pa | Surgery | 1 Lile Ct Ste 103, Little Rock, AR 72205-6239 | 2009-09-29 |
| 1104076439 | Lawrence Edward Greiten | Surgery | 1 Childrens Way # 200, Little Rock, AR 72202 | 2008-09-23 |
| 1063671949 | Patrick Pakkee Szeto | Surgery | 701 N University Ave Ste 203, Little Rock, AR 72205-2936 | 2008-06-05 |
| 1700057098 | Emilio Tirado, M.d. Pa | Surgery | 500 N University Ave, Ste 808, Little Rock, AR 72205 | 2008-03-14 |
| 1508058462 | William Dale Morris Jr. | Surgery | 12924 Crystal Valley Rd, Little Rock, AR 72210-4715 | 2007-08-15 |
| 1720289945 | Anna Nicole Rinewalt | Surgery | 1 Childrens Way # 210, Little Rock, AR 72202-3500 | 2007-05-29 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.