PARAGOULD UROLOGY (NPI# 1114013349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114013349 |
Entity Type | Organization |
Organization Name | PARAGOULD UROLOGY |
Other Organization Name | DEWEY R. SHELLEY M.D. |
Practice Address |
1000 W Kingshighway Ste 8 Paragould AR 72450-4197 |
Practice Telephone | 8702363308 |
Practice Fax Number | 8702368530 |
Mailing Telephone | 8702363308 |
Mailing Fax Number | 8702368530 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DEWEY R SHELLEY (OWNER) |
Authorized Official Telephone | 8702363308 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
E-4246 | AR | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Dewey R. Shelley M.D. | Other Name - Individual/Organization |
Street Address |
1000 W KINGSHIGHWAY STE 8 |
City | PARAGOULD |
State | AR |
Zip Code | 72450-4197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
Find all providers in zip 72450 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1588775464 | Wren & Barrow Ob Gyn Pllc Pa | Clinic/Center | 628 Hospital Dr Ste 2a, Mountain Home, AR 72653-2937 | 2006-08-31 |
1366450421 | Rehab and Pain Managment Clinic Inc. | Clinic/Center | 1201, Fleming Ave., Health South Rehablitation Hospital of Jonesboro, Jonesboro, AR 72403 | 2006-08-04 |
1952318099 | Prime Medical Imaging, A Division of Radiologists, P.a. | Clinic/Center | 320 S 9th St, Van Buren, AR 72956-5826 | 2006-08-02 |
1588692198 | The Pediatric Clinic of Nlr, P.a. | Clinic/Center | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2006-06-30 |
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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.