DR. SAINT ADEOGBA (NPI# 1265587869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265587869 |
| Entity Type | Individual |
| Full Name | DR. SAINT ADEOGBA |
| Credential | M.D. |
| Practice Address |
10301 Kanis Rd Little Rock AR 72205-6205 |
| Practice Telephone | 5016046900 |
| Practice Fax Number | 5016043220 |
| Mailing Telephone | 5016046900 |
| Mailing Fax Number | 5016043220 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
E-8983 | AR | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 39020000X | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NPI | 1265587869 | 01 |
| AR | 208292001 | 05 |
| Street Address |
10301 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777647 | Herbert L Hahn | Orthopaedic Surgery | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2005-08-17 |
| 1851858377 | Megan Nalley | Occupational Therapist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2019-02-21 |
| 1861915233 | Kaitlyn A Griffin | Nurse Practitioner | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2017-07-18 |
| 1629511977 | Jessica Wilson | Specialist/Technologist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2016-11-18 |
| 1326490798 | Lauren Dymna | Physical Medicine & Rehabilitation | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2016-07-08 |
| 1144617465 | Michael Mcconnaughhay | Orthopaedic Surgery | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2015-04-24 |
| 1225436207 | Douglas Brent Phillips | Specialist/Technologist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2014-12-08 |
| 1790115459 | Sydney Lauren Bishop | Physical Therapist | 10301 Kanis Rd, Attn: Physical Therapy Department, Little Rock, AR 72205-6205 | 2013-11-16 |
| 1730428483 | Audie Kwon Partain | Physician Assistant | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2013-01-31 |
| 1548525504 | Chelsey Morgan Schramm Trout | Physician Assistant | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862703 | Mike C. Umerah, M.d. Inc. | Physical Medicine & Rehabilitation | 500 S University Ave Ste 705, Little Rock, AR 72205-5372 | 2020-05-08 |
| 1609846435 | Amir M Qureshi | Physical Medicine & Rehabilitation | 5700 W Markham St, Little Rock, AR 72205-3380 | 2006-01-24 |
| 1356654164 | Little Rock Pain & Rehabilitation Consultants, Pllc | Physical Medicine & Rehabilitation | 9 Freeway Dr, Ste. B, Little Rock, AR 72204-2486 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194193045 | Precision Spine, Pllc | Physical Medicine & Rehabilitation | 3010 Falcon Crest Dr, Alexander, AR 72002-1767 | 2015-09-09 |
| 1053601575 | Noadia Worku | Physical Medicine & Rehabilitation | 201 N Slemons St, Monticello, AR 71655-4326 | 2011-04-18 |
| 1316250251 | Little Rock Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 3127 W 2nd Ct, Russellville, AR 72801-4504 | 2010-07-21 |
| 1053374496 | Joseph E Miller | Physical Medicine & Rehabilitation | 9001 Jenny Lind Rd Ste 3, Fort Smith, AR 72908-8629 | 2006-04-07 |
| 1932681574 | Dana Jones | Physical Medicine & Rehabilitation | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2018-08-30 |
| 1497100838 | Aimee Elizabeth Widner, M.d., Pllc | Physical Medicine & Rehabilitation | 746 Wilburn Rd, Heber Springs, AR 72543-8902 | 2016-05-03 |
| 1730432741 | Rebecca Nichole Foster | Physical Medicine & Rehabilitation | 308 Smokey Lane, N Little Rock, AR 72117 | 2012-10-16 |
| 1316244460 | Little Rock Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 410 W Pershing Blvd, North Little Rock, AR 72114-2146 | 2011-02-24 |
| 1356597330 | Ryan Thomas Krafft | Physical Medicine & Rehabilitation | 17 Medical Plz, Mountain Home, AR 72653-2918 | 2008-08-11 |
| 1922161173 | Solomon Michael Pearce | Physical Medicine & Rehabilitation | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.