NORTHWEST ARKANSAS BREAST CARE SPECIALISTS, LTD. (NPI# 1164846887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164846887 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ARKANSAS BREAST CARE SPECIALISTS, LTD. |
| Practice Address |
701 S Horsebarn Rd Suite 100 Rogers AR 72758-8737 |
| Mailing Address |
1317 Topping Rd Saint Louis MO 63131-1421 |
| Practice Telephone | 4792022820 |
| Mailing Telephone | 9729714620 |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-03-02 |
| Authorized Official Name | DR. CHRISTOPHER ANTONIO MENENDEZ (PRESIDENT) |
| Authorized Official Telephone | 9729714630 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | E-8334 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
701 S HORSEBARN RD SUITE 100 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-8737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| 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 |
|---|---|---|---|---|
| 1215138144 | Mario E Costaldi | Surgery | 8051 Deer Trl, Rogers, AR 72756-7459 | 2007-05-29 |
| 1356362040 | James P Irwin | Surgery | 1001 S Horsebarn Rd, Rogers, AR 72758-8184 | 2006-07-21 |
| 1508808585 | James H Bledsoe | Surgery | 709 Sky Mountain Dr, Rogers, AR 72756-3016 | 2006-06-12 |
| 1518925759 | Douglas Alan Treptow | Surgery | 1001 Horsebarn Road, Rogers, AR 72758 | 2006-05-03 |
| 1962460519 | Douglas Lynn Friesen | Surgery | 2708 S Rife Medical Ln Ste T40, Rogers, AR 72758-1474 | 2006-05-03 |
| 1780676841 | Angela M. Buonagura | Surgery | 1001 Horsebarn Rd, Rogers, AR 72758-8184 | 2005-08-16 |
| 1053755637 | Kyle Jospeh Mackin | Surgery | 1001 S Horsebarn Rd, Rogers, AR 72758 | 2013-04-25 |
| 1538460662 | Mercy Health Northwest Arkansas Communities | Surgery | 1001 Horsebarn Rd, Rogers, AR 72758-8184 | 2010-11-05 |
| 1871790113 | Mark John Perna | Surgery | 1101 S Horsebarn Rd, Rogers, AR 72758-8237 | 2007-06-29 |
| 1871660597 | Colin A Meghoo | Surgery | 1001 S Horsebarn Rd, Rogers, AR 72758-8184 | 2006-11-29 |
| Find all providers in ROGERS | ||||
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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.