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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA289AR | AR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2125 E MAIN ST STE 10 |
City | SILOAM SPRINGS |
State | AR |
Zip Code | 72761-5576 |
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 |
Find all providers in zip 72761 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | SILOAM SPRINGS |
Zip Code | 72761 |
Please comment or provide details below to improve the information on DANIEL SHANE BRILEY.
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.