DR. RODNEY GLEN COURSON (NPI# 1053411769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053411769 |
| Entity Type | Individual |
| Full Name | DR. RODNEY GLEN COURSON |
| Credential | M.D. |
| Practice Address |
3880 Stockton Hill Rd Ste 103128 Kingman AZ 86409-0595 |
| Practice Telephone | 9282791387 |
| Practice Fax Number | 9287577272 |
| Mailing Telephone | 9282791387 |
| Mailing Fax Number | 9287577272 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 30616 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 726044 | 05 |
| Street Address |
3880 STOCKTON HILL RD STE 103128 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-0595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| 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 |
|---|---|---|---|---|
| 1891967444 | Mustafa Kamari Davis | Surgery | 3104 N Stockton Hill Rd, Kingman, AZ 86401-4183 | 2008-03-24 |
| 1851469720 | Northern Arizona General Surgical Group PC | Surgery | 3880 Stockton Hill Rd, #103-128, Kingman, AZ 86409-0595 | 2006-12-01 |
| 1508850116 | Muhammad Azam Khan | Surgery | 3636 Stockton Hill Rd, Kingman, AZ 86409-0514 | 2005-09-09 |
| 1396744223 | Randall Renee Beech | Surgery | 750 Ave D West, Kingman, KS 67068-1268 | 2005-07-21 |
| 1760869069 | Deoranie Nikita Abdel-naby | Surgery | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-05-06 |
| 1801107099 | James San Mckinney | Surgery | 3104 N Stockton Hill Rd, Mohave Surgical Specialists, Kingman, AZ 86401-4183 | 2010-06-23 |
| 1194998997 | Eric Edward Capriles | Surgery | 3104 N Stockton Hill Rd, Mohave Surgical Specialists, Kingman, AZ 86401-4183 | 2008-04-12 |
| 1568512580 | Kingman General Surgery PC | Surgery | 1739 E Beverly Ave, Suite 218, Kingman, AZ 86409-3593 | 2007-01-11 |
| 1871506766 | Hesham Sahawneh | Surgery | 3931 Stockton Hill Rd, Kingman, AZ 86409-3001 | 2006-08-14 |
| 1386657286 | Hillcrest Surgical Associates | Surgery | 3931 Stockton Hill Rd, Kingman, AZ 86409-3001 | 2006-08-14 |
| Find all providers in KINGMAN | ||||
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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.