DANIEL SHANE BRILEY


Address: 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576
Phone: 4795248552

DANIEL SHANE BRILEY (NPI# 1194966374) 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) 1194966374
Entity Type Individual
Full Name DANIEL SHANE BRILEY
Credential PA
Practice Address 2125 E Main St Ste 10
Siloam Springs
AR 72761-5576
Practice Telephone 4795248552
Practice Fax Number 4795248593
Mailing Telephone 4795248552
Enumeration Date 2009-03-17
Last Update Date 2009-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA289AR AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2125 E MAIN ST STE 10
City SILOAM SPRINGS
State AR
Zip Code 72761-5576

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285285908 Tripharma Inc. Pharmacy 310 N Progress Ave, Siloam Springs, AR 72761 2019-09-24
1861058547 Oyenike Adigun-awonaike Nurse Practitioner 3271, Hwy 412, Siloam Springs, AR 72761 2019-05-17
1811551989 Natasha Victoria Clayton Registered Nurse 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 2019-04-24
1649750662 David Raymond Jordan Physical Therapy Assistant 301 Glenwood Pl, Siloam Springs, AR 72761 2018-08-20
1689120222 Wesley Phillip Horton Speech-Language Pathologist 501 W Elgin St, Siloam Springs, AR 72761 2016-09-01
1407216138 Amy Bassarear Social Worker 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 2016-02-23
1033584073 Siloam Springs Clinic Company, LLC Clinic/Center 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 2015-12-02
1801279575 Rachel Fritsche Gordon Physician Assistant Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 2015-06-30
1508258021 Lifebridge Ar Counseling Counselor 301 East Ashley St., Siloam Springs, AR 72761 2015-02-20
1902176472 Meghan Daley Occupational Therapist 918 South Mt Olive, Siloam Springs, AR 72761 2011-12-30
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093271082 Megan Breanna Albers Physician Assistant 100 Broadhurst St, Siloam Springs, AR 72761-4081 2019-02-14
1801279575 Rachel Fritsche Gordon Physician Assistant Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 2015-06-30
1811931397 Mary Melinda Ericson Physician Assistant 3721 E Us 412 Hwy Ste B, Siloam Springs, AR 72761-3018 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982115218 Tabitha Jaggers Physician Assistant 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 2017-10-13
1700281938 Carol J Trana Physician Assistant 4301 West Markham St, #748, Little Rock, AR 72205-7199 2014-10-30
1790011005 Cassandra Lynn Ganus Physician Assistant 205 E Race Ave, Searcy, AR 72143-4329 2009-10-20
1699008672 Robin Lynn Isaacks Physician Assistant 821 East Park Street, Highway 70, Carlisle, AR 72024 2009-09-09
1619128360 Stacie Renee Smith Physician Assistant 47 Hwy 64 W, Beebe, AR 72012-9500 2008-09-30
1861669541 Gregory D Mills Physician Assistant 300 East Main, Swifton, AR 72471-0000 2008-05-13
1194990366 Michelle Lee Manthe Physician Assistant 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 2008-04-28
1558561431 Jayme Mayo Physician Assistant 612 Garland St, Conway, AR 72032-4418 2007-07-19
1992842595 Veronica G Dockery Physician Assistant 346 N. Main St, Decatur, AR 72722-0735 2007-01-31
1104977933 St Francis Emergency Group LLC Physician Assistant 1601 New Castle Road, Forrest City, AR 72335 2007-01-16
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Competitor

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City SILOAM SPRINGS
Zip Code 72761

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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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