ISSEI MIYAGUCHI (NPI# 1306351069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306351069 |
| Entity Type | Individual |
| Full Name | ISSEI MIYAGUCHI |
| Practice Address |
2201 Moix Blvd Apt 615 Conway AR 72034-6975 |
| Mailing Address |
2201 Moix Blvd Apt. 615 Conway AR 72034 |
| Practice Telephone | 5012699614 |
| Mailing Telephone | 5012699614 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2201 MOIX BLVD APT 615 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122998 | Baylee Nicole Kimbrell | Student in an Organized Health Care Education/Training Program | 1018 Clifton St Apt 7, Conway, AR 72034-3988 | 2019-09-09 |
| 1194284364 | Tiffany Elise Eastburn | Student in an Organized Health Care Education/Training Program | 1760 Wysteria Ln, Conway, AR 72034-8444 | 2019-03-18 |
| 1033675814 | Sarah Etta Harrison | Student in an Organized Health Care Education/Training Program | 2912 Celia Dr, Conway, AR 72034-5511 | 2019-02-15 |
| 1235695321 | Elizabeth Catherine Speck | Student in an Organized Health Care Education/Training Program | 3760 Irby Dr, Conway, AR 72034-3381 | 2019-02-14 |
| 1093270746 | Stefan Jordan Mckinney | Student in an Organized Health Care Education/Training Program | 2201 Moix Blvd Apt 411, Conway, AR 72034-6899 | 2019-02-06 |
| 1316435662 | Ashley Nolen | Student in an Organized Health Care Education/Training Program | 835 S Donaghey Ave Apt 411, Conway, AR 72034-7050 | 2018-04-23 |
| 1073014973 | Hannah Ashley Thornton | Student in an Organized Health Care Education/Training Program | 1361b Davis St, Conway, AR 72034-3963 | 2018-02-26 |
| 1699274910 | Ja'brea Janay Joiner | Student in an Organized Health Care Education/Training Program | 1025 S Donaghey Ave Apt 715, Conway, AR 72034-6290 | 2018-02-02 |
| 1790222198 | Jordan Gregory | Student in an Organized Health Care Education/Training Program | 3065 Dave Ward Dr Apt 213, Conway, AR 72034-9411 | 2017-01-23 |
| 1265832661 | Chelcie Ford | Student in an Organized Health Care Education/Training Program | 407 Katie Ln, Conway, AR 72034-7942 | 2014-09-04 |
| Find all providers in CONWAY | ||||
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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.