DR. DAVID A CHURCHILL (NPI# 1023072808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023072808 |
Entity Type | Individual |
Full Name | DR. DAVID A CHURCHILL |
Practice Address |
3211 N Northhills Blvd Suite 110 Fayetteville AR 72703-4007 |
Practice Telephone | 4795714338 |
Practice Fax Number | 4795714015 |
Mailing Telephone | 4795714338 |
Mailing Fax Number | 4795714015 |
Enumeration Date | 2006-04-17 |
Last Update Date | 2012-06-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
C6809 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | QUALCHOICE | 122050000 | 01 |
AR | CHAMPUS | A023 | 01 |
MO | 204813000 | 05 | |
AR | STATE LICENSE | C6809 | 01 |
OK | 100077630A | 05 | |
AR | DEA | AC3145845 | 01 |
AR | 111127001 | 05 | |
AR | AETNA | 4567131 | 01 |
AR | UNITED HEALTHCARE | 1670494 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588113849 | David Diederich Churchill | Marriage & Family Therapist | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2016-09-28 |
1417259995 | David Churchill | Behavioral Analyst | 2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 | 2010-12-03 |
1144209503 | David A Churchill | Internal Medicine | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057-9248 | 2006-01-13 |
Street Address |
3211 N NORTHHILLS BLVD SUITE 110 |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-4007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649885252 | Kaitlynn Nichole Britton | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-09-10 |
1861025173 | Laura Droke | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-02-14 |
1093281917 | Justin Partin | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2018-10-18 |
1104361864 | Dawn Michelle Smedley | Clinical Nurse Specialist | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2017-01-04 |
1891043071 | Ellen Jean Teal | Nurse Practitioner | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2012-08-20 |
1447512579 | Courtney Mae Burns | Clinical Nurse Specialist | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 | 2012-06-14 |
1174890065 | Taylor Dee Marshall | Nurse Practitioner | 3211 N Northhills Blvd, #110, Fayetteville, AR 72703-4007 | 2011-11-21 |
1578862785 | Nicole Van Comstock | Nurse Practitioner | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2011-03-28 |
1417254780 | Brandi Marie Barnes | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2011-02-22 |
1679890966 | Washington Regional Medical System | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2010-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
Find all providers in zip 72703 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174965826 | Valley Cardiology, Pa | Internal Medicine | 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 | 2013-07-23 |
1659560647 | Oduwole Organization Inc | Internal Medicine | 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 | 2007-10-16 |
1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
1912984568 | Arun Prahash | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 | 2005-12-26 |
1679890966 | Washington Regional Medical System | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2010-04-26 |
1386827574 | Cumberland Cardiology, P.a. | Internal Medicine | 909 S Mcpherson Church Rd, Fayetteville, NC 28303-5350 | 2007-12-11 |
1831386556 | Zubair Ahmed | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2007-09-26 |
1689769507 | Cardiac Disease Specialists, PC | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-4548 | 2006-10-04 |
1538254487 | Cardiac Disease Specialists, PC | Internal Medicine | 101 Yorktown Dr, Ste 209, Fayetteville, GA 30214-1568 | 2006-10-04 |
1841216595 | Geetha Ramaswamy | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-07-14 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72703 |
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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.