RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A. (NPI# 1306814116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306814116 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A. |
| Practice Address |
106 S Inglewood Ave Russellville AR 72801-3353 |
| Practice Telephone | 4799685261 |
| Practice Fax Number | 4799684761 |
| Mailing Telephone | 4799685261 |
| Mailing Fax Number | 4799684761 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NATHAN F. AUSTIN (OWNER) |
| Authorized Official Telephone | 4799685261 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARK. BCBS | 57789 | 01 |
| Street Address |
106 S INGLEWOOD AVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205076387 | Russellville Cardiology Consultants, Pa | Internal Medicine | 106 S Inglewood Ave, Russellville, AR 72801-3353 | 2009-03-02 |
| 1730157256 | Nathan F. Austin | Otolaryngology | 106 S Inglewood Ave, Russellville, AR 72801-3353 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973306 | Ezechiel R. Nehus | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-02-24 |
| 1730157256 | Nathan F. Austin | Otolaryngology | 106 S Inglewood Ave, Russellville, AR 72801-3353 | 2006-03-10 |
| 1013985969 | Stephen M. Killingsworth | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-03-08 |
| 1760459952 | Stephen M. Killingsworth, Md, Pa | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-03-07 |
| 1871569269 | Ezechiel R. Nehus, Md, Pa | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013269 | Gary W Woodward | Otolaryngology | 621 E Matthews, Jonesboro, AR 72401-3145 | 2006-02-22 |
| 1851366140 | Joseph H Sales | Otolaryngology | 621 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-02-21 |
| 1639460777 | Philip Kurt Robb Jr. | Otolaryngology | 4301 W Markham St, 543, Little Rock, AR 72205-7101 | 2011-04-24 |
| 1467629469 | Ccent & Fps | Otolaryngology | 300 W White Mountain Blvd, Suite D, Lakeside, AR 85929-6533 | 2008-05-09 |
| 1174613665 | Emre Vural | Otolaryngology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| 1659340297 | Ne Arkansas Otolaryngology Facial Surgery P A | Otolaryngology | 621 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-03-16 |
| 1871568808 | John B Jiu | Otolaryngology | 621 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-02-22 |
| 1588639512 | David Lewis | Otolaryngology | 621 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-02-22 |
| 1538134572 | Shane R Smith | Otolaryngology | 621 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-02-22 |
| 1386638286 | William Jennison Bulkley | Otolaryngology | 1000 W Kingshighway, Ste 3, Paragould, AR 72450-4141 | 2005-09-07 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A..
| 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.