MATTHEW RODGERS (NPI# 1043840549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043840549 |
Entity Type | Individual |
Full Name | MATTHEW RODGERS |
Credential | APRN |
Practice Address |
178 Highway 167 N Bald Knob AR 72010-4058 |
Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
Practice Telephone | 5017246207 |
Practice Fax Number | 5017243305 |
Mailing Telephone | 8703472534 |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
123643 | AR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871001115 | Matthew Rodgers | Anesthesiology | 57 N Harrison St, Johnson City, NY 13790-1476 | 2018-01-22 |
1225491384 | Matthew Rodgers | Emergency Medicine | 400 W 16th St, Pueblo, CO 81003-2745 | 2016-04-05 |
1578765855 | Matthew Dale Rodgers | Family Medicine | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2007-05-31 |
Street Address |
178 HIGHWAY 167 N |
City | BALD KNOB |
State | AR |
Zip Code | 72010-4058 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710948419 | Arcare | Clinic/Center | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2006-03-31 |
1992272397 | Taylor Victoria Borne | Pharmacist | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2018-10-24 |
1942776265 | Imi Mvere | Pharmacist | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2018-10-15 |
1538689203 | Kristin Wood | Nurse Practitioner | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2017-06-23 |
1033659677 | Kari Chapman | Nurse Practitioner | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2017-03-01 |
1861945149 | Shelly Rutledge | Pharmacist | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2016-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023668845 | Alice Longacre | Technician | 173 Prince Cemetery Road, Bald Knob, AR 72010 | 2019-09-13 |
1407327604 | Wallace Chiropractic Clinic LLC | Chiropractor | 430 S Elm St, Bald Knob, AR 72010 | 2018-12-16 |
1801245295 | Wallace Chiropractic Clinic | Chiropractor | 430 S. Elm St, Bald Knob, AR 72010 | 2016-06-07 |
1689898330 | City of Bald Knob | Ambulance | 3713 Hwy 367 N, Bald Knob, AR 72010 | 2007-04-12 |
1871505800 | Sidney Layman Smith Jr. | Dentist | 1702 Hwy. 367 North, Bald Knob, AR 72010 | 2006-08-11 |
1578819405 | Monica M Bomar | Physician Assistant | Po Box 456, Bald Knob, AR 72010-0456 | 2012-07-30 |
1003889148 | Denver R Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2006-02-09 |
1982028270 | Taylor Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2014-02-07 |
1710068218 | Paul Andrew Teed | Dentist | 2811 Hwy. 367 N., Bald Knob, AR 72010-1360 | 2006-10-18 |
1770619645 | Bald Knob Special School District | Speech-Language Pathologist | 103 W Park Ave, Bald Knob, AR 72010-3162 | 2007-02-26 |
Find all providers in zip 72010 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538689203 | Kristin Wood | Nurse Practitioner | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2017-06-23 |
1033659677 | Kari Chapman | Nurse Practitioner | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2017-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
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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.