DR. WAYNE P ENNS (NPI# 1144255571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144255571 |
| Entity Type | Individual |
| Full Name | DR. WAYNE P ENNS |
| Credential | MD |
| Practice Address |
303 S 5th St Paris AR 72855-4501 |
| Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
| Practice Telephone | 4799632132 |
| Practice Fax Number | 4799632046 |
| Mailing Telephone | 4792742000 |
| Mailing Fax Number | 4792742194 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R-2880 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 080017768 | 01 | |
| AR | 103239001 | 05 |
| Street Address |
303 S 5TH ST |
| City | PARIS |
| State | AR |
| Zip Code | 72855-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184650616 | Douglas A Buckley | Family Medicine | 303 S 5th St, Paris, AR 72855-4501 | 2006-06-25 |
| 1649737719 | Netlla Anne Cureton | Nurse Practitioner | 303 S 5th St, Paris, AR 72855-4501 | 2019-02-25 |
| 1881106243 | Mercy Hospital Paris | Clinic/Center | 303 S 5th St, Paris, AR 72855-4501 | 2017-10-25 |
| 1891908166 | Cooper Clinic P A | Family Medicine | 303 S 5th St, Paris, AR 72855-4501 | 2007-05-07 |
| 1730296591 | Kimberly L Hertlein | Nurse Practitioner | 303 S 5th St, Paris, AR 72855-4501 | 2006-08-25 |
| 1790706497 | Cooper Clinic, Pa | Family Medicine | 303 S 5th St, Paris, AR 72855-4501 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149791 | Jonathan James Larsen | Pharmacist | 1501 East Walnut, Paris, AR 72855 | 2020-09-21 |
| 1659753515 | Andrea Edgmon | Social Worker | 2007 East Walnut Street, Paris, AR 72855 | 2015-06-26 |
| 1942531280 | Anita Spradling | Case Manager/Care Coordinator | 2007 E Walnut, Paris, AR 72855 | 2010-01-27 |
| 1417107632 | Thomas M. Spivey, D.d.s., P.a. | Dentist | 20 East Short Mountain Street, Paris, AR 72855 | 2008-09-24 |
| 1285710103 | Nick W Dollar Dds Inc | Dentist | 15 West Main, Paris, AR 72855 | 2006-10-31 |
| 1831116334 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1501 East Walnut Street, Paris, AR 72855 | 2006-07-17 |
| 1619939832 | Kathleen H Chung | Optometrist | 25 E. Walnut, Paris, AR 72855 | 2006-04-04 |
| 1881677870 | Air Evac Ems Inc | Ambulance | 32 Airport Industrial Rd, Paris, AR 72855 | 2005-11-22 |
| 1003385360 | Cege Neissl | Case Manager/Care Coordinator | 2007 E Walnut, Paris, AR 72855 | 2018-11-16 |
| 1679078489 | Peggy Rosson | Nurse Practitioner | 500 E Academy St, Paris, AR 72855 | 2018-03-26 |
| Find all providers in zip 72855 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962973727 | Paris Best Kept Secret Med Spa, LLC | Family Medicine | 2600 Lamar Avenue, Paris, TX 75460-4864 | 2018-12-05 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1831532241 | Deepak Bacharanianda Muthappa | Family Medicine | 1601 Lamar Ave, Paris, TX 76560-4660 | 2013-04-16 |
| 1508122250 | Cooper Clinic Pa | Family Medicine | 2000 E Wood St Rm 1, Paris, AR 72855-2621 | 2012-04-06 |
| 1609178052 | Eric Mark Concors | Family Medicine | 1518 Lamar Ave, #109, Paris, TX 75460-4685 | 2010-11-17 |
| 1306150974 | Alison Leigh Petras | Family Medicine | 8 Linville Dr Ste A, Paris, KY 40361-2128 | 2010-08-05 |
| 1124330204 | Myers Robinson Hurt IIi | Family Medicine | 1128 Clarksville St Ste 100, Paris, TX 75460 | 2010-07-06 |
| 1134251614 | Dinnie C Lim | Family Medicine | 230 S High St, Paris, IL 61944-2282 | 2007-03-11 |
| 1225177710 | Kent L Davis | Family Medicine | 274 E Main St, Paris, KY 40361-2124 | 2007-02-05 |
| 1760546782 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 1 Phipps Lane, Paris, IL 61944 | 2006-12-21 |
| Find all providers in PARIS | ||||
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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.