DEBRA FAULKNER (NPI# 1225217243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225217243 |
| Entity Type | Organization |
| Organization Name | DEBRA FAULKNER |
| Other Organization Name | PORT X MEDICAL SERVICES |
| Practice Address |
532 W Faulkner St El Dorado AR 71730-4519 |
| Practice Telephone | 8708622000 |
| Mailing Telephone | 8708622000 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DEBRA KAY FAULKNER (OWNER) |
| Authorized Official Telephone | 8708622000 |
| Authorized Official Credential | R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 140983710 | 05 |
| Other Name | Type Code |
|---|---|
| Port X Medical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265620868 | Debra Faulkner | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2007-10-09 |
| Street Address |
532 W FAULKNER ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194257642 | Peek In The Pod | Clinic/Center | 2720 N Woods Ln, Suite C, Rogers, AR 72756-6709 | 2017-04-03 |
| 1710369228 | Mobile Dysphagia Imaging, LLC | Clinic/Center | 806 Crestwood St, Springdale, AR 72762-5119 | 2015-06-19 |
| 1851701106 | Quality Mobile Medical Imaging LLC | Clinic/Center | 802 Sw Sandrock Rd, Bentonville, AR 72712-8227 | 2014-05-07 |
| 1407836893 | Misty Mountain Imaging, Inc. | Clinic/Center | 530 County Road 675, Mountain Home, AR 72653-9834 | 2006-01-20 |
| 1316464878 | Clearview Digital Image LLC | Clinic/Center | 16502 Lawson Rd Ste A, Little Rock, AR 72210-2020 | 2017-08-25 |
| 1629395975 | On-site Imaging Solutions, Inc. | Clinic/Center | 16502 Lawson Rd, Little Rock, AR 72210-2020 | 2010-04-27 |
| 1124355334 | Heart Institute of Tulsa | Clinic/Center | 530 County Road 675, Mountain Home, AR 72653-9834 | 2009-11-09 |
Please comment or provide details below to improve the information on DEBRA FAULKNER.
| 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.