LOUISA DUKE WICKS (NPI# 1336180074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336180074 |
Entity Type | Individual |
Full Name | LOUISA DUKE WICKS |
Credential | P.A. |
Practice Address |
705 Santa Fe Dr Searcy AR 72143-6964 |
Practice Telephone | 5012683853 |
Practice Fax Number | 5012683856 |
Mailing Telephone | 5012683853 |
Mailing Fax Number | 5012683856 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2018-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-377 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 200825795 | 05 |
Street Address |
705 SANTA FE DR |
City | SEARCY |
State | AR |
Zip Code | 72143-6964 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356301147 | John Richard Duke | Family Medicine | 705 Santa Fe Dr, Searcy, AR 72143-6964 | 2006-03-24 |
1750821674 | Rebecca Mccready | Physician Assistant | 705 Santa Fe Dr, Searcy, AR 72143-6964 | 2017-02-24 |
1215234836 | Staci Diann Clouse | Physician Assistant | 705 Santa Fe Dr, Searcy, AR 72143-6964 | 2011-02-16 |
1306176755 | Gary Wayne Hill | Physician Assistant | 705 Santa Fe Dr, Searcy, AR 72143-6964 | 2010-01-07 |
1093947418 | John Richard Duke Sr Md Pllc Dba Duke Medical | Clinic/Center | 705 Santa Fe Dr, Searcy, AR 72143-6964 | 2009-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
Find all providers in zip 72143 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
1013082205 | Tara L Bruner | Physician Assistant | 205 East Race Avenue, Searcy, AR 72143-4329 | 2006-11-22 |
1730744897 | Caleb Thomas Keese | Physician Assistant | 711 Santa Fe Dr, Searcy, AR 72143-6964 | 2019-05-04 |
1447684527 | Abby Rice | Physician Assistant | 3130 E Race Ave Ste 100, Suite 100, Searcy, AR 72143-4991 | 2013-08-26 |
1821368721 | Bryan Lloyd Rampey | Physician Assistant | 2902 E Race Ave, Searcy, AR 72143-4806 | 2012-01-09 |
1720098411 | Lonny Ramey | Physician Assistant | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
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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.