DR. SHANNON ARLEESE JEWELL


Address: 3101 Se 14th St, Bentonville, AR 72712-4900
Phone: 4796369234

DR. SHANNON ARLEESE JEWELL (NPI# 1134187156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134187156
Entity Type Individual
Full Name DR. SHANNON ARLEESE JEWELL
Credential MD
Practice Address 3101 Se 14th St
Bentonville
AR 72712-4900
Practice Telephone 4796369234
Practice Fax Number 4796360774
Mailing Telephone 4796369234
Mailing Fax Number 4796360774
Enumeration Date 2006-05-01
Last Update Date 2011-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
E0839 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 131827001 05

Office Location

Street Address 3101 SE 14TH ST
City BENTONVILLE
State AR
Zip Code 72712-4900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760447353 Rickey L Mcgath Family Medicine 3101 Se 14th St, Bentonville, AR 72712-4900 2006-04-18
1093273195 Melinda S Tucker Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2019-03-07
1568958833 Meredith R Krohn Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2018-07-10
1194210070 Jaime Marie Holthaus Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2018-06-25
1154810612 Paige Boles Registered Nurse 3101 Se 14th St, Bentonville, AR 72712 2018-05-09
1750800827 Smile Shoppe Bentonville Jeffrey D Rhodes Dds Ms Pllc Dentist 3101 Se 14th St, Bentonville, AR 72712-4900 2017-09-11
1750818894 Tiffany Lynn Shanahan Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712 2017-05-19
1962937102 Megan Elizabeth Owen Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2017-04-25
1982147765 Tori Layne Abernathy Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2016-11-28
1972954600 Rachel Angulo Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2016-06-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427662345 Bentonville Ambulatory Surgery Center, LLC Pain Medicine 2902 We Mid-cities Dr, Bentonville, AR 72712 2020-09-08
1942837059 Amy Crumpton Counselor 3504 Se Riveria Road, Bentonville, AR 72712 2020-03-26
1295361509 Unbridled Holdings LLC Physical Therapy Assistant 9900 Price Coffee Rd, Bentonville, AR 72712 2020-03-18
1649803552 Hanna Kathryn Baxendale Pediatrics 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 2020-02-19
1740746635 Meredith C Hodges Counselor 2508 Se 2oth St, Bentonville, AR 72712 2019-02-15
1609352566 Tripharma Inc Pharmacy 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 2018-07-13
1811406747 Upspring Therapy, LLC Counselor 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 2017-09-22
1023536836 Charlotte Yuvonne Hoyle Case Manager/Care Coordinator 2005 S.e Walton Blvd., Bentonville, AR 72712 2017-08-31
1508399502 Rosanna Nicole Rephan Nurse Practitioner 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 2017-04-06
1417305517 Charlotte Lennette Stephenson Behavioral Analyst 2005 S.e. Walton Blvd., Bentonville, AR 72712 2016-05-31
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659323038 Carl A. Engmann Pediatrics 3101 Se 14th St, Bentonville, AR 72712-4900 2006-05-16
1235197435 Joy Wilson Hill Pediatrics 3101 Se 14th St, Bentonville, AR 72712-4900 2006-05-04
1114975117 James Gavin Scherer Pediatrics 3101 Se 14th St, Bentonville, AR 72712-4900 2006-05-04
1700834603 George Valentine Schaefer Pediatrics 3101 Se 14th St, Bentonville, AR 72712-4900 2006-05-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689182412 Saveritt Pediatrics Pllc Pediatrics 5501 Willow Creek Dr Ste 203, Springdale, AR 72762-8708 2018-01-15
1255517066 Joshua R Wilkinson Pediatrics 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 2008-01-11
1578619177 John Alonzo Flowers Sr. Pediatrics 316 W 5th Ave, Pine Bluff, AR 71601-4214 2007-01-26
1285654285 William Ladell Douglas Pediatrics 100 E 20th St, Suite B, Hope, AR 71801-8213 2006-07-20
1811955974 Loren Barry Allen Pediatrics 1223 W Poplar St, Rogers, AR 72756-4245 2006-05-01
1093779787 Lloyene Bruce-reid Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12
1972502953 Floyd Gonzalez Pediatrics 821 Walter J Leeper Dr, Suite 101, De Queen, AR 71832-2591 2005-07-20
1700885522 Renee Jones Pediatrics 615 N Main St, Brinkley, AR 72021-2507 2005-07-14
1588121065 Premier Pediatrics Pllc Pediatrics 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 2019-02-21
1881162469 Jefferson Hospital Association, Inc. Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2018-11-13
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Competitor

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City BENTONVILLE
Zip Code 72712

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Dataset Information

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.

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