PRECISION SPINE, PLLC (NPI# 1194193045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194193045 |
| Entity Type | Organization |
| Organization Name | PRECISION SPINE, PLLC |
| Practice Address |
3010 Falcon Crest Dr Alexander AR 72002-1767 |
| Practice Telephone | 6153897852 |
| Practice Fax Number | 8882290055 |
| Mailing Telephone | 6153897852 |
| Mailing Fax Number | 8882290055 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | DR. DEREK S BUCK (PHYSICIAN OWNER) |
| Authorized Official Telephone | 6153897852 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
E6249 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
3010 FALCON CREST DR |
| City | ALEXANDER |
| State | AR |
| Zip Code | 72002-1767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568871234 | Preston Adami | Specialist/Technologist | 14492 Norman Davis Dr., Alexander, AR 72002 | 2014-08-07 |
| 1588909162 | Shaneika Marcha Lewis-williams | Nurse Practitioner | 1501 Woody Lane, Alexander, AR 72002 | 2012-12-07 |
| 1659696276 | Elite Medical Connections, LLC | Preferred Provider Organization | 1023 Skyline Drive, Alexander, AR 72002 | 2010-04-07 |
| 1790188746 | Shameka Clark | Speech-Language Pathologist | 1 Children's Way, Little Rock, AR 72002 | 2014-10-06 |
| 1487781027 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 14701 Highway 111, Alexander, AR 72002-1742 | 2007-02-28 |
| 1962903054 | Pauline Okwuosa | Nurse Practitioner | 1099 Skyline Dr, Alexander, AR 72002-1749 | 2018-02-23 |
| 1346513637 | Full Potential | Health Maintenance Organization | 1032 Skyline Dr, Alexander, AR 72002-1749 | 2012-02-16 |
| 1710226733 | Carrie E. White | Occupational Therapy Assistant | 1032 Skyline Dr, Alexander, AR 72002-1749 | 2013-02-11 |
| 1891935532 | Sherion Yvette Allen | Social Worker | 4003 Crestside Dr, Alexander, AR 72002-1764 | 2009-02-20 |
| 1689206013 | Sondra's Love and Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 3969 Eastern Slope Dr, Alexander, AR 72002-1773 | 2020-02-04 |
| Find all providers in zip 72002 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862703 | Mike C. Umerah, M.d. Inc. | Physical Medicine & Rehabilitation | 500 S University Ave Ste 705, Little Rock, AR 72205-5372 | 2020-05-08 |
| 1053601575 | Noadia Worku | Physical Medicine & Rehabilitation | 201 N Slemons St, Monticello, AR 71655-4326 | 2011-04-18 |
| 1316250251 | Little Rock Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 3127 W 2nd Ct, Russellville, AR 72801-4504 | 2010-07-21 |
| 1053374496 | Joseph E Miller | Physical Medicine & Rehabilitation | 9001 Jenny Lind Rd Ste 3, Fort Smith, AR 72908-8629 | 2006-04-07 |
| 1609846435 | Amir M Qureshi | Physical Medicine & Rehabilitation | 5700 W Markham St, Little Rock, AR 72205-3380 | 2006-01-24 |
| 1932681574 | Dana Jones | Physical Medicine & Rehabilitation | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2018-08-30 |
| 1497100838 | Aimee Elizabeth Widner, M.d., Pllc | Physical Medicine & Rehabilitation | 746 Wilburn Rd, Heber Springs, AR 72543-8902 | 2016-05-03 |
| 1730432741 | Rebecca Nichole Foster | Physical Medicine & Rehabilitation | 308 Smokey Lane, N Little Rock, AR 72117 | 2012-10-16 |
| 1316244460 | Little Rock Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 410 W Pershing Blvd, North Little Rock, AR 72114-2146 | 2011-02-24 |
| 1356654164 | Little Rock Pain & Rehabilitation Consultants, Pllc | Physical Medicine & Rehabilitation | 9 Freeway Dr, Ste. B, Little Rock, AR 72204-2486 | 2010-07-21 |
| Find all providers with the same taxonomy | ||||
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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.