KYLA RAE SHELTON (NPI# 1275859076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275859076 |
Entity Type | Individual |
Full Name | KYLA RAE SHELTON |
Other Name | KYLA SHELTON LANG |
Credential | MD |
Practice Address |
4301 W Markham St # 520-2 Little Rock AR 72205-7101 |
Mailing Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
Practice Telephone | 5016866176 |
Mailing Telephone | 5016868000 |
Enumeration Date | 2010-04-19 |
Last Update Date | 2019-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | E-10901 | AR | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
E-10901 | AR | Allopathic & Osteopathic Physicians |
Street Address |
4301 W MARKHAM ST # 520-2 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205-7101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538788468 | Austin Lawrence Price | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520-2, Little Rock, AR 72205-7101 | 2020-04-10 |
1588125819 | Allegra Lee Fierro | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520-2, Little Rock, AR 72205-7101 | 2019-03-28 |
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 | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235778515 | Arkansas Vascular Surgery, Pllc | Surgery | 11300 N Rodney Parham Rd Ste 210, Little Rock, AR 72212-4149 | 2020-01-03 |
1346317476 | Arkansas Health Group | Surgery | 9601 Lile Dr Ste 250, Medical Towers 1, Little Rock, AR 72205-6355 | 2006-11-30 |
1760498554 | Edward C. Loebl | Surgery | 9601 Lile Drive, Suite 250, Little Rock, AR 72205-6321 | 2006-07-31 |
1619234366 | Christian Dupre Simmons | Surgery | 4301 W Markham St # 520, Little Rock, AR 72205 | 2012-04-19 |
1386872695 | Jason Leonard Muesse | Surgery | 4301 W Markham St, Little Rock, AR 72205-7101 | 2009-06-24 |
1437260577 | Cardiac and Vascular Surgeons Pa | Surgery | 9601 Lile Dr, Suite 650, Little Rock, AR 72205-6321 | 2006-08-31 |
1871504126 | Mohammed Mahmoud Moursi | Surgery | 4300 W 7th St, 112pv/lr, Little Rock, AR 72205-5446 | 2006-08-11 |
1023086170 | Robert Eugene Casali | Surgery | 9601 Lile Drive, Suite 700, Little Rock, AR 72205 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063741924 | Lon G. Bitzer, M.d., P.a. | Surgery | 1801 W 40th Ave Ste 4c, Pine Bluff, AR 71603-6961 | 2009-12-23 |
1962466748 | Donald L Patrick | Surgery | 305 Rodgers Dr, Searcy, AR 72143-7432 | 2006-04-17 |
1225416928 | Usa Vein Clinics of Little Rock, Pllc | Surgery | 609 Sw 8th St, Suite 600, Bentonville, AR 72712-7886 | 2015-05-13 |
1528220639 | Matthew Brewster Hendrich | Surgery | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2008-06-30 |
1386677789 | H K Reddy, Md | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-09 |
1194758649 | Donald J. Voelker, Md, Facc, Fscai | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-08 |
1417980806 | Girish R. Bhatt, Md, Pa | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-08 |
1164480679 | Mary Evelyn Bourland | Surgery | 2708 Rife Medical Ln, Suite 210, Rogers, AR 72758-1452 | 2006-05-03 |
1497718266 | William R Wilson, Md | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-04-11 |
1336133826 | Heather N Leblanc | Surgery | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2005-09-09 |
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.