DR. EDMOND FLOOD FEEKS (NPI# 1043203649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043203649 |
| Entity Type | Individual |
| Full Name | DR. EDMOND FLOOD FEEKS |
| Credential | M.D. |
| Practice Address |
1090 Arnold Dr Little Rock Afb AR 72099-4933 |
| Practice Telephone | 5019877319 |
| Mailing Telephone | 5019877319 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
01038158A | IN | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
01038158A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | FF 1344821 | 01 | |
| DEA NUMBER | BF7089104 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 W Perimeter Rd, Jb Andrews, MD 207626601 | 2408572333 | |
| 4111 Franklin St, Michigan City, IN 463607803 | 2198795400 |
| Street Address |
1090 ARNOLD DR |
| City | LITTLE ROCK AFB |
| State | AR |
| Zip Code | 72099-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353524 | Ruth Paula Gullotta | Pediatrics | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2005-08-16 |
| 1669087961 | Franko Salazar | Physician Assistant | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2020-09-14 |
| 1023642840 | Cara D Roth | Social Worker | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2020-03-02 |
| 1154971513 | Timothy Ryan Southerland | Psychologist | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2019-09-18 |
| 1407409428 | Jenisha Rae Mermis | Military Health Care Provider | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2019-07-18 |
| 1457810848 | Dennis Dale Jackson II | Pharmacist | 1090 Arnold Dr, Little Rock Afb, AR 72099 | 2019-03-15 |
| 1053877902 | Chase Andrew Cannon | Physician Assistant | 1090 Arnold Dr, Little Rock Afb, AR 72099-2502 | 2019-02-15 |
| 1235600461 | Leeanne Elizabeth Ogle | Military Health Care Provider | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2018-12-16 |
| 1972078004 | Meghan Rachelle Dailey | Physician Assistant | 1090 Arnold Dr, Little Rock Afb, AR 72099-1043 | 2018-10-04 |
| 1760977979 | Lashica Davis | Pharmacist | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2018-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876577 | Little Rock Air Force Base Eye Care | Optometrist | 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 | 2017-04-25 |
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1134341076 | Keisha Denythia Henry | Psychologist | 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 | 2007-05-02 |
| 1699213454 | Teryn Ardell Freeman | Physician Assistant | 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 | 2017-02-01 |
| 1730314899 | Andrew Chichick Iv | Military Health Care Provider | 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 | 2009-05-19 |
| 1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
| 1700174828 | Lewis Mark Wiggins | Family Medicine | 19th Medical Group, Jacksonville, AR 72099-0001 | 2011-07-11 |
| 1104052158 | Seth Thomas Tolliver | Nurse Practitioner | 101 Master Sergeant Dan Wassom, Little Rock Afb, AR 72099-0001 | 2009-06-04 |
| 1316171994 | Jeff J. Sandoval | Military Health Care Provider | 19 Amds Sgopf, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 | 2009-05-11 |
| 1366610198 | Robert Anthony Olivi Jr. | Physician Assistant | 19th Medical Group 1090 Arnold Drive, Little Rock Air Force Base, AR 72099-0001 | 2008-02-14 |
| Find all providers in zip 72099 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1205126760 | Sally Beachboard | Preventive Medicine | 25 Rocky Valley Cv, Little Rock, AR 72212-3171 | 2011-04-18 |
| 1720103930 | John H Adametz Jr. | Preventive Medicine | 10101 Mabelvale Plaza Dr Ste 3, Little Rock, AR 72209-5932 | 2007-03-20 |
| 1184654774 | Terry L Clark | Preventive Medicine | 4300 Regions Park Dr, Fort Smith, AR 72916-9373 | 2006-07-03 |
| 1770972093 | Erin Casey | Preventive Medicine | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2015-01-12 |
| 1487061172 | Ronald Hudspeth | Preventive Medicine | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2014-07-15 |
| 1932492295 | Fort Smith Hma Physician Management, LLC | Preventive Medicine | 1500 Dodson Ave, Suite 175, Fort Smith, AR 72901-5182 | 2011-05-19 |
| 1740572940 | Fort Smith Hma Physician Management, LLC | Preventive Medicine | 1500 Dodson Ave, Suite 175, Fort Smith, AR 72901-5182 | 2011-05-05 |
| 1578853909 | Ft Smith Hma Physician Management, LLC | Preventive Medicine | 8600 S 36th Ter, Fort Smith, AR 72908-8768 | 2011-04-19 |
| 1780843565 | Deanne J. Fortson | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK AFB |
| Zip Code | 72099 |
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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.