DR. MARK T JANSEN (NPI# 1275542029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275542029 |
| Entity Type | Individual |
| Full Name | DR. MARK T JANSEN |
| Credential | M.D. |
| Practice Address |
3004 Pine St Arkadelphia AR 71923-5325 |
| Practice Telephone | 8702462471 |
| Practice Fax Number | 8702462476 |
| Mailing Telephone | 8702462471 |
| Mailing Fax Number | 8702462476 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C6033 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101476001 | 05 |
| Street Address |
3004 PINE ST |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-5325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902297559 | Charity Lowdermilk | Nurse Practitioner | 3004 Pine St, Arkadelphia, AR 71923-5325 | 2015-02-17 |
| 1730579921 | Emily Moore | Nurse Practitioner | 3004 Pine St, Arkadelphia, AR 71923-5325 | 2015-01-27 |
| 1568576247 | Arkadelphia Medical Clinic | Family Medicine | 3004 Pine St, Arkadelphia, AR 71923-5325 | 2006-08-18 |
| 1710996517 | Bryan D Mcdonnell | Family Medicine | 3004 Pine St, Arkadelphia, AR 71923-5325 | 2006-08-08 |
| 1346259124 | Noland H Hagood Jr. | Family Medicine | 3004 Pine St, Arkadelphia, AR 71923-5325 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| 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 |
|---|---|---|---|---|
| 1124636279 | Arkansas Health Group | Family Medicine | 2915 Cypress Rd Ste D, Arkadelphia, AR 71923-4243 | 2020-07-15 |
| 1861018111 | Baptist Health | Family Medicine | 2913 Cypress Rd Ste 100, Arkadelphia, AR 71923-4251 | 2020-06-23 |
| 1447568373 | Arkansas Health Group | Family Medicine | 2913 Cypress Rd Ste 100, Arkadelphia, AR 71923-4251 | 2010-09-14 |
| 1306922497 | Melanie Deborah Jones | Family Medicine | 3050 Twin Rivers Dr, Arkadelphia, AR 71923-4218 | 2006-10-31 |
| 1649384835 | Arkansas Health Group | Family Medicine | 416 Main St, Arkadelphia, AR 71923-6144 | 2006-08-18 |
| 1568576247 | Arkadelphia Medical Clinic | Family Medicine | 3004 Pine St, Arkadelphia, AR 71923-5325 | 2006-08-18 |
| 1710996517 | Bryan D Mcdonnell | Family Medicine | 3004 Pine St, Arkadelphia, AR 71923-5325 | 2006-08-08 |
| 1346259124 | Noland H Hagood Jr. | Family Medicine | 3004 Pine St, Arkadelphia, AR 71923-5325 | 2006-08-07 |
| 1902824162 | Shelly C Bray | Family Medicine | 303 Professional Park Dr, Arkadelphia, AR 71923-5317 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609833 | Lafayette County Family Practice | Family Medicine | 226 Spruce Street, Lewisville, AR 71845 | 2020-11-06 |
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1932709995 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 505 W Section Line Road, Poyen, AR 72128 | 2020-10-29 |
| 1124627781 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 370 Highway 215, Oark, AR 72852-8858 | 2020-10-23 |
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1417563321 | Access Medical Clinic Arkansas LLC | Family Medicine | 444 Taylor Circle, Cave City, AR 72521 | 2020-09-17 |
| 1871107474 | Mimo Medical Services, LLC | Family Medicine | 2506 Crestview Dr, Magnolia, AR 71753-4336 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
Please comment or provide details below to improve the information on DR. MARK T JANSEN.
| 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.