DR. JERRY CANNADAY (NPI# 1194774646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194774646 |
| Entity Type | Individual |
| Full Name | DR. JERRY CANNADAY |
| Credential | DO |
| Practice Address |
121 Cordoba Center Dr Suite 400 Hot Springs AR 71909-4030 |
| Practice Telephone | 5019150837 |
| Practice Fax Number | 5019150978 |
| Mailing Telephone | 5019150837 |
| Mailing Fax Number | 5019150978 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | R-4722 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | D7542 | TX | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | R-4722 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1341125-04 | 05 | |
| TX | BCBS | 84Z865 | 01 |
| TX | RR MEDICARE | 080095891 | 01 |
| Street Address |
121 CORDOBA CENTER DR SUITE 400 |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71909-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301343 | Thomas A Pullig | Family Medicine | 121 Cordoba Center Dr, Suite 400, Hot Springs, AR 71909-4093 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277941 | Marlee Logan Buchanan | Pharmacist | 4634 N Ar 7, Hot Springs Village, AR 71909 | 2020-08-26 |
| 1245726843 | American Oncology Partners, P.a. | Internal Medicine | 101 Plaza Carmona Pl Ste C, Hot Springs Village, AR 71909 | 2018-07-06 |
| 1942795141 | Loah Community Development Center | Clinic/Center | 110 Ponderosa Ln, Suite C, Hot Springs Village, AR 71909 | 2018-06-29 |
| 1336380807 | Greg Pineau Do Pa | Family Medicine | 112 Cordoba Center, Hot Springs Village, AR 71909 | 2009-03-13 |
| 1982840096 | Martha Davenport Mayland | Physical Therapist | 140 Cordoba Ctr Drive, Hot Springs Village, AR 71909 | 2008-12-18 |
| 1073735221 | Mason Family Dentistry | Dentist | 4585 N Highway 7 Ste 13, Hot Springs Village, AR 71909 | 2007-05-03 |
| 1497976427 | Larry Don Powell | Dentist | 110 Este Way, Suite A, Hot Springs Village, AR 71909 | 2007-05-01 |
| 1073734000 | John Michael Matthews | Dentist | 110 Estel Way, Suite A, Hot Springs Village, AR 71909 | 2007-05-01 |
| 1336234343 | Malinda L Smith | Physical Therapist | 140 Cordoba Ctr Dr, Physical Therapy Plus, Hot Springs Village, AR 71909 | 2006-10-04 |
| 1013958149 | John Conley Mason | Dentist | 4585 N Highway 7, Suite 13, Hot Springs Village, AR 71909 | 2006-06-09 |
| Find all providers in zip 71909 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205345154 | Lakeside Walk-in Clinic Pllc | General Practice | 2230 Malvern Ave Ste E, Hot Springs, AR 71901-8000 | 2017-09-22 |
| 1245448885 | Hermann F. Jonak | General Practice | 702 Surrey Road, Hot Springs, AR 71902 | 2007-05-18 |
| 1831578475 | Healthstar Physicians of Hot Springs, Pllc | General Practice | 1661 Airport Rd, Suite D, Hot Springs, AR 71913-7951 | 2015-05-28 |
| 1972897056 | Hot Springs Aids Resource Center | General Practice | 1801 Central Ave, Suite A, Hot Springs, AR 71901-6848 | 2011-06-06 |
| 1124274808 | Kalarikkal K Jayaraman | General Practice | 180 Medical Park Pl, Suite 102, Hot Springs, AR 71901-8065 | 2008-08-13 |
| 1831387117 | Chi St. Vincent Medical Group Hot Springs | General Practice | 1 Mercy Ln, Suite 201, Hot Springs, AR 71913-6442 | 2007-10-11 |
| 1497880124 | Chi St Vincent Hospital Hot Springs | General Practice | 221 Mcauley Ct, Hot Springs, AR 71913-6314 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382059 | Landmark Medical of Arkansas Pa | General Practice | 425 W Capitol Ave Ste 425, Little Rock, AR 72201-3424 | 2020-10-08 |
| 1306480231 | Command Radiology Solutions, Inc. | General Practice | 3708 Pilot Grove Loop, Ozark, AR 72949-2488 | 2019-11-04 |
| 1215586797 | Achor Management Inc | General Practice | 1900 Club Manor Dr Ste 101a, Maumelle, AR 72113-7443 | 2019-09-08 |
| 1093364820 | Center for Regenerative Medicine Pa | General Practice | 9307 Maumelle Blvd, North Little Rock, AR 72113-6609 | 2019-09-04 |
| 1083269690 | University of Arkansas At Monticello | General Practice | 663 University Drive, Monticello, AR 71656 | 2019-08-09 |
| 1912492786 | Chelsea Brown | General Practice | 6309 Highway 5 N, Bryant, AR 72022-8506 | 2018-06-25 |
| 1558897595 | Epoch-nwa Pllc | General Practice | 5100 W Pauline Whitaker Pkwy, Ste. 110, Rogers, AR 72758-8335 | 2017-05-11 |
| 1023540655 | Aaron M Smith | General Practice | Varner Unit State Hwy 388, Gould, AR 71643 | 2017-04-02 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1003360082 | Healthmax Center LLC | General Practice | 12300 Highway 71 S, Suite A, Fort Smith, AR 72916-9133 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71909 |
Please comment or provide details below to improve the information on DR. JERRY CANNADAY.
| 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.