DEBRA KAY FAULKNER (NPI# 1275529893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275529893 |
| Entity Type | Individual |
| Full Name | DEBRA KAY FAULKNER |
| Credential | R.T. |
| Practice Address |
3025 N Wyatt Dr El Dorado AR 71730-4189 |
| Practice Telephone | 8708622000 |
| Mailing Telephone | 8703100321 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2010-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215292206 | Debra S Faulkner | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2012-07-06 |
| Street Address |
3025 N WYATT DR |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013203785 | Southark Imaging LLC | Clinic/Center | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2011-06-21 |
| 1619292653 | David Allen Faulkner | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2010-04-01 |
| 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 |
| 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 | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639651599 | Radiology Professional Management Inc | Radiologic Technologist | 102 N 17th St, Ozark, AR 72949-2349 | 2018-09-06 |
| 1063707834 | Amanda Lynette Milholland | Radiologic Technologist | 318 W Church St, Sheridan, AR 72150-2113 | 2011-06-09 |
| 1386978666 | Mark E. Schreiner | Radiologic Technologist | 349 Iroquois Rd, Royal, AR 71968-8772 | 2009-09-20 |
| 1477733418 | Pk Xray, Inc | Radiologic Technologist | 3379a Green Acres Rd, Springdale, AR 72764-0236 | 2007-11-07 |
| 1679604409 | Jon Robert Joslin | Radiologic Technologist | Baptist Health Little Rock Mri Dept, 9601 Lile Dr Ste 118, Little Rock, AR 72205 | 2007-03-07 |
| 1174555650 | Linda Gail Gillham | Radiologic Technologist | 2019 E Race Ave, Searcy, AR 72143-4725 | 2006-07-07 |
| 1790048585 | Arkansas Rehabilitation Services | Radiologic Technologist | 105 Reserve St, Hot Springs, AR 71901-4195 | 2012-06-18 |
| 1437443173 | Derek S Enzs | Radiologic Technologist | 716 W Emerson St, Paragould, AR 72450-5924 | 2011-05-29 |
| 1366740227 | Shawn Wayne White | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2011-03-02 |
| 1740415033 | Kim Eileen Kuna | Radiologic Technologist | 609 N 14th St, Ozark, AR 72949-2053 | 2009-05-15 |
| 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.