MR. NICKY LYNN PIPKIN (NPI# 1376558197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376558197 |
| Entity Type | Individual |
| Full Name | MR. NICKY LYNN PIPKIN |
| Credential | M.D. |
| Practice Address |
700 W Grove St El Dorado AR 71730-4416 |
| Practice Telephone | 8708643290 |
| Practice Fax Number | 8708635442 |
| Mailing Telephone | 8708643290 |
| Mailing Fax Number | 8708635442 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 03572 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00528272D | 05 | |
| GA | RR MEDICARE | 330005537 | 01 |
| Street Address |
700 W GROVE ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615551 | Nes Arkansas, Inc. | Emergency Medicine | 700 W Grove St, El Dorado, AR 71730-4416 | 2005-11-03 |
| 1154935757 | Lauren Roberts | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2020-09-02 |
| 1508486150 | Maci Steele | Registered Nurse | 700 W Grove St, El Dorado, AR 71730-4416 | 2020-04-23 |
| 1386109536 | Sheila Ann Hayes | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2019-02-01 |
| 1861966228 | Donna Renae Ramsey | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730 | 2019-01-17 |
| 1770088445 | Ladonna Marie Young | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2018-03-26 |
| 1679081285 | Levi Nathaniel Maggard | Nurse Anesthetist, Certified Registered | 700 W Grove St, El Dorado, AR 71730-4416 | 2018-01-17 |
| 1578000287 | Stephanie Michele Dunn | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2017-01-20 |
| 1285088146 | Jessica Laurin Zimmer | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2016-04-18 |
| 1821450479 | Tyler Alan Neal | Hospitalist | 700 W Grove St, El Dorado, AR 71730-4416 | 2016-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215322003 | George Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 53 Quercus Cir, Little Rock, AR 72223-5159 | 2015-03-30 |
| 1033404199 | Jack Stephens Heart Institute LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 St. Vincent Circle, Ste 501, Little Rock, AR 72205-5414 | 2011-06-16 |
| 1710146907 | J P Rowen Surgery, Plc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9501 Lile Dr Ste 888, Little Rock, AR 72205-6233 | 2008-06-03 |
| 1811073604 | Watkins, Bauer & Meadors, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 | 2006-10-27 |
| 1376640284 | Reginald Wb Barnes Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One St Vincent Circle Suite 360, Little Rock, AR 72205 | 2006-09-20 |
| 1487690186 | Marc Denton Stam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Lexington Ave, Fort Smith, AR 72901-4737 | 2006-06-21 |
| 1851354393 | James A Ameika | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Apache Dr, Suite B4, Jonesboro, AR 72401 | 2006-04-07 |
| 1023009040 | Victor Bernard Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9712 W Markham St, Little Rock, AR 72205-2124 | 2005-10-31 |
| 1699779686 | Paul S Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4802 E Johnson Ave, Jonesboro, AR 72401 | 2005-06-08 |
| 1265435085 | Travis M Spears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 628 Stone Rd, Saint Joe, AR 72675-1423 | 2005-05-24 |
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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.