DR. SHANE J THARP (NPI# 1104878420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104878420 |
| Entity Type | Individual |
| Full Name | DR. SHANE J THARP |
| Credential | MD |
| Practice Address |
500 South University Ave Suite 101 Little Rock AR 72205-5314 |
| Practice Telephone | 5016643914 |
| Practice Fax Number | 5016645246 |
| Mailing Telephone | 5016643914 |
| Mailing Fax Number | 5016645246 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
E3435 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 161721001 | 05 |
| Street Address |
500 SOUTH UNIVERSITY AVE SUITE 101 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821086307 | Christie B Phelan | Radiology | 500 South University Ave, Ste 101, Little Rock, AR 72205-5314 | 2005-10-10 |
| 1831127786 | Bryan T Jennings | Radiology | 500 South University Ave, Suite 101, Little Rock, AR 72205-5314 | 2006-06-29 |
| 1497798698 | Burton Allan Moore | Dermatology | 500 South University Ave, Suite 301, Little Rock, AR 72205 | 2006-06-14 |
| 1467495101 | Matthew Kemp Kagy | Dermatology | 500 South University Ave, Suite 301, Little Rock, AR 72205 | 2006-06-13 |
| 1699721811 | Rogerich T Paylor | Radiology | 500 South University Ave, Suite 101, Little Rock, AR 72205-5314 | 2006-05-26 |
| 1053375428 | Rajesh Sethi | Radiology | 500 South University Ave, Suite 101, Little Rock, AR 72205-5314 | 2006-04-13 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853821 | Resort Radiology, Pllc | Radiology | 13107 Colonel Glenn Rd, Little Rock, AR 72210-2319 | 2020-02-20 |
| 1164713061 | Jackson Mott Farrow | Radiology | 1115 W 3rd St, Little Rock, AR 72201-2007 | 2011-04-26 |
| 1366733404 | Steven Matthew Wright | Radiology | 17310 Lamarche Blvd, Little Rock, AR 72223-9125 | 2011-04-24 |
| 1477888204 | Raja Shaikh | Radiology | 4301 W Markham St Dept Of, Slot #556,university of Arkansas for Meidcal Sciences, Little Rock, AR 72205-7101 | 2009-10-13 |
| 1205066859 | Peter Lindley | Radiology | 9708 Overby Ct, Little Rock, AR 72205-1514 | 2009-07-16 |
| 1992947204 | Charles Drew Sessions | Radiology | 14 Lorna Dr, Little Rock, AR 72205-2533 | 2009-04-01 |
| 1619143914 | Frederick Dwayne Johnson Jr. | Radiology | 5 Woods Cv, Little Rock, AR 72210-9108 | 2008-05-06 |
| 1538341391 | Seark Radiology Pa | Radiology | 19 Hickory Hills Cir, Ste 2c, Little Rock, AR 72212-2766 | 2007-12-03 |
| 1821282971 | Asima Yousaf | Radiology | 2015 Wellington Plantation Dr, Little Rock, AR 72211-2093 | 2007-08-31 |
| 1467674606 | Kalyani Vallurupalli | Radiology | 11 Hoggards Rdg, Little Rock, AR 72211-3795 | 2007-05-03 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on DR. SHANE J THARP.
| 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.