LUIS M CARRASCO (NPI# 1306808829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306808829 |
| Entity Type | Individual |
| Full Name | LUIS M CARRASCO |
| Credential | MD |
| Practice Address |
1233 West Poplar Rogers AR 72756-4249 |
| Mailing Address |
614 E Emma Ave Ste 300 Springdale AR 72764-4469 |
| Practice Telephone | 4796369235 |
| Practice Fax Number | 4796310374 |
| Mailing Telephone | 4797517417 |
| Mailing Fax Number | 4797514898 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2016-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | E-9613 | AR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 33347 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | GROUP MEDICAID | 35001775 | 01 |
| KY | 64333479 | 05 | |
| KY | GROUP MEDCARE | 183935 | 01 |
| AR | 215360001 | 05 |
| Street Address |
1233 WEST POPLAR |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710424478 | St Francis House Nwa, Inc | Physical Therapist | 1233 West Poplar, Suite 1290, Rogers, AR 72756-4249 | 2017-01-19 |
| 1710211461 | Stacey Lynette Bankston | Social Worker | 1233 West Poplar, Rogers, AR 72756-4249 | 2009-09-29 |
| 1134377583 | Laura Lee Mendenhall | Social Worker | 1233 West Poplar, Rogers, AR 72756-4249 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| 1215132253 | Rainbow Pediatric Clinic | Pediatrics | 5507 Walsh Ln Ste 101, Rogers, AR 72758-9007 | 2007-06-19 |
| 1184825408 | Apn Rainbow Pediatric Services, Pllc | Pediatrics | 5507 Walsh Lane, Ste 101, Rogers, AR 72758-8941 | 2007-05-31 |
| 1730122102 | Craig Keever | Pediatrics | 5507 W Walsh Ln Ste 101, Rogers, AR 72758-9007 | 2006-06-14 |
| 1760459259 | Mary E. Mahony | Pediatrics | 13980 Northdale Blvd, Rogers, MN 55374-2147 | 2006-03-02 |
| 1104810126 | Martha Ann B Sharkey | Pediatrics | 5507 Walsh Ln, Suite 101, Rogers, AR 72758-8941 | 2005-09-06 |
| 1417301417 | Shaun Daniel Adams | Pediatrics | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2016-04-16 |
| 1568825438 | Amy Randall | Pediatrics | 1233 W Poplar St, Rogers, AR 72756-4245 | 2016-03-30 |
| 1912392176 | Integritas LLC | Pediatrics | 2103 S 54th St, Suite 1, Rogers, AR 72758-8169 | 2015-04-03 |
| 1164840112 | Megan Patterson | Pediatrics | 700 S 52nd St, Rogers, AR 72758-8605 | 2014-04-06 |
| Find all providers in ROGERS | ||||
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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.