CABOT HEALTHCARE CENTER, LLC (NPI# 1255399424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255399424 |
| Entity Type | Organization |
| Organization Name | CABOT HEALTHCARE CENTER, LLC |
| Other Organization Name | NORTHSIDE HEALTHCARE, QUITMAN HEALTHCARE, QUITMAN HEALTHCARE |
| Practice Address |
3181 Highway 367 N Austin AR 72007-8003 |
| Mailing Address |
Po Box 1313 Cabot AR 72023-1313 |
| Practice Telephone | 5019411495 |
| Practice Fax Number | 5019411496 |
| Mailing Telephone | 5019411495 |
| Mailing Fax Number | 5019411496 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JACK WEIR (CEO) |
| Authorized Official Telephone | 5019411495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | GROUP | 0280000801 | 01 |
| Other Name | Type Code |
|---|---|
| Northside Healthcare, Quitman Healthcare, Quitman Healthcare | Doing Business As Name - Organization |
| Street Address |
3181 HIGHWAY 367 N |
| City | AUSTIN |
| State | AR |
| Zip Code | 72007-8003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366400624 | Charles Cardona | Family Medicine | 3181 Highway 367 N, Austin, AR 72007-8003 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073054318 | Kaylee Brown | Occupational Therapy Assistant | 26 Sioux Dr, Austin, AR 72007 | 2017-03-20 |
| 1598006314 | Dee Estabrook | Licensed Practical Nurse | 751 Highway 321 N, Austin, AR 72007 | 2013-03-04 |
| 1326380817 | Every Spine Chiropractic | Chiropractor | 365 Heffner Rd, Austin, AR 72007-8810 | 2013-03-22 |
| 1053432690 | Tracy Howard, Dc,pa | Chiropractor | 877 Bethlehem Rd, Austin, AR 72007-8975 | 2007-04-02 |
| 1225594435 | Tracy Jill Tedford | Chiropractor | 523 Bethlehem Rd, Austin, AR 72007-8978 | 2019-02-12 |
| 1457898314 | Tara Boyd | Emergency Medicine | 150 Pap Paw Pl, Austin, AR 72007-9020 | 2017-01-30 |
| 1790908291 | Van Crews | Occupational Therapist | 146 Wild Rose Cv, Austin, AR 72007-9130 | 2007-04-11 |
| 1922339910 | Nancy B Ellis | Occupational Therapist | 250 Lorene St, Austin, AR 72007-9137 | 2010-01-15 |
| 1730347782 | Terra Michelle Evans | Speech-Language Pathologist | 255 Wild Rose Cv, Austin, AR 72007-9150 | 2008-05-27 |
| 1154518785 | Speech Pathology Services Inc. | Speech-Language Pathologist | 286 Carter Rd, Austin, AR 72007-9331 | 2007-09-27 |
| Find all providers in zip 72007 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| Find all providers in AUSTIN | ||||
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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.