MR. JEFFERY LANE ULMER (NPI# 1225072614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225072614 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY LANE ULMER |
| Credential | P.A.-C. |
| Practice Address |
1102 Crestwood Cir Mena AR 71953-5513 |
| Practice Telephone | 4793947301 |
| Practice Fax Number | 4793947160 |
| Mailing Telephone | 4793947301 |
| Mailing Fax Number | 4793947160 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-116 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1102 CRESTWOOD CIR |
| City | MENA |
| State | AR |
| Zip Code | 71953-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487629317 | Ronald William Beckel Jr. | Pediatrics | 1102 Crestwood Cir, Mena, AR 71953-5513 | 2006-02-22 |
| 1134425705 | Gretchen Laurel Goodnight | Nurse Practitioner | 1102 Crestwood Cir, Mena, AR 71953-5513 | 2011-01-31 |
| 1922251974 | Rachael A.h. Hopper | Counselor | 1102 Crestwood Cir, Mena, AR 71953-5513 | 2008-11-03 |
| 1902064272 | Kelley Easley Dotson | Nurse Practitioner | 1102 Crestwood Cir, Mena, AR 71953-5513 | 2008-05-23 |
| 1598731259 | Richard Mark Lochala | Family Medicine | 1102 Crestwood Cir, Mena, AR 71953-5513 | 2006-02-23 |
| 1851366777 | Mountain View Clinic I LLC | Pediatrics | 1102 Crestwood Cir, Mena, AR 71953-5513 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166623 | Joshua Daniel Sirkis | Physical Therapist | 500 Crestwood Circle Suite G, Mena, AR 71953 | 2019-10-28 |
| 1841639960 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 134 S George, Mt Ida, AR 71953 | 2013-06-21 |
| 1922326586 | Boone Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 803-a Highway 71 North, Mena, AR 71953 | 2010-05-06 |
| 1841529112 | Chad Hill | Hearing Instrument Specialist | 601 W Hwy 71 N, Mena, AR 71953 | 2009-12-16 |
| 1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1629291455 | Jennifer Rowland | Occupational Therapist | 1801 Hamilton Avenue, Mena, AR 71953 | 2007-04-10 |
| 1093886822 | Alina Mielnick | Urology | 601 Bd Hwy 71 N, Mena, AR 71953 | 2006-11-13 |
| 1821195256 | Robert Martin Cohen | Psychiatry & Neurology | 311 North Morrow Street, Mena, AR 71953 | 2006-09-20 |
| 1730284357 | Sidney H Simpson | Chiropractor | 1402-b Hwy 71 S, Mena, AR 71953 | 2006-09-14 |
| Find all providers in zip 71953 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487063897 | Kelly M Krause | Physician Assistant | 403 Morrow St N, Suite D, Mena, AR 71953-4324 | 2014-08-11 |
| 1487744942 | Jeff A. Jones | Physician Assistant | 136 Health Park Drive, Mena, AR 71953-9072 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 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 |
| 1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
| 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 |
| 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.