DR. PATRICK LEE FRALEY (NPI# 1376623165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376623165 |
| Entity Type | Individual |
| Full Name | DR. PATRICK LEE FRALEY |
| Credential | M.D. |
| Practice Address |
2425 Dave Ward Dr Suite 101 Conway AR 72034-8686 |
| Practice Telephone | 5019327600 |
| Practice Fax Number | 5019327603 |
| Mailing Telephone | 5019327600 |
| Mailing Fax Number | 5019327603 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | E-5994 | AR | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 2004014126 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2425 DAVE WARD DR SUITE 101 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884622 | Jeffrey P Kirsch | Specialist | 2425 Dave Ward Dr, Ste 101, Conway, AR 72034-8686 | 2005-10-06 |
| 1467089599 | Conway Ambulatory Surgery Center, LLC | Clinic/Center | 2425 Dave Ward Dr, Conway, AR 72034-8686 | 2020-03-26 |
| 1114461118 | Leah Marie Lamb | Pharmacist | 2425 Dave Ward Dr, Suite 602, Conway, AR 72034-8686 | 2016-12-09 |
| 1962862557 | Rachel Choate | Nurse Practitioner | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686 | 2016-02-25 |
| 1992180269 | Natalie Claire Brownd | Nurse Practitioner | 2425 Dave Ward Dr, Suite #401, Conway, AR 72034-8686 | 2015-07-28 |
| 1871990937 | The Pain Medicine Consultants Group | Durable Medical Equipment & Medical Supplies | 2425 Dave Ward Dr, Gordy Building Ste 102, Conway, AR 72034-8686 | 2014-12-04 |
| 1558667683 | Annette N. Anderson, Md, Pa | Psychiatry & Neurology | 2425 Dave Ward Dr, Suite 102, Conway, AR 72034-8686 | 2011-02-08 |
| 1851697197 | Jaclyn J Cooper | Nurse Practitioner | 2425 Dave Ward Dr, Suite 601, Conway, AR 72034-8686 | 2011-02-03 |
| 1902043227 | Saint-mark Enterprises 1890 LLC | Pharmacy | 2425 Dave Ward Dr, Suite 602, Conway, AR 72034-8686 | 2009-01-08 |
| 1558536219 | Kathleen E. Phillips | Audiologist | 2425 Dave Ward Dr, Suite 101, Conway, AR 72034-8686 | 2008-04-24 |
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| 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 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861585465 | James Douglas Stroud | Otolaryngology | 515 Locust Street, Conway, AR 72034-5324 | 2006-10-02 |
| 1437152329 | Rafael Jorge Marrero | Otolaryngology | 2200 Ada Ave, Suite 202, Conway, AR 72034 | 2005-05-24 |
| 1093772436 | Central Arkansas Ear Nose & Throat Clinic | Otolaryngology | 2200 Ada Ave, Ste 202, Conway, AR 72034 | 2006-04-28 |
| 1760459028 | Conway Hospital Inc | Otolaryngology | 808 Farrar Dr, Conway, SC 29526-8747 | 2006-03-07 |
| 1285606350 | Darin V Sutton | Otolaryngology | 808 Farrar Dr, Conway, SC 29526-8747 | 2006-02-03 |
| 1598763641 | Collie Blevins Shaw | Otolaryngology | 2200 Ada Ave, Suite 202, Conway, AR 72034-4985 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1992125850 | White River Health System, Inc. | Otolaryngology | 501 Virginia Dr Ste A, Batesville, AR 72501-7317 | 2014-04-18 |
| 1437590080 | John R Sims | Otolaryngology | 8901 Carti Way Ste 201, Little Rock, AR 72205-6523 | 2013-07-11 |
| 1467726539 | William Rolland Eddington | Otolaryngology | 2564 Greene Road 739, Paragould, AR 72450-8859 | 2012-03-06 |
| 1558650960 | Graham Michael Strub | Otolaryngology | 1 Childrens Way # 836, Little Rock, AR 72202-3500 | 2011-04-06 |
| 1346478484 | Family Ent & Sinus Center of Harrison, P.a. | Otolaryngology | 1401 Mccoy Drive, Harrison, AR 72601-2417 | 2009-06-28 |
| 1376760215 | Robert Vernon Borg | Otolaryngology | 214 Leigh Cir, Hot Springs, AR 71901-7758 | 2007-04-20 |
| 1225170376 | Jason A Smith | Otolaryngology | 4901 Fairway Ave, Suite C, North Little Rock, AR 72116-6923 | 2007-02-13 |
| 1689730459 | Gordon Carl Shipp | Otolaryngology | 4301 W Markham St # 543, Little Rock, AR 72205-7101 | 2006-12-28 |
| 1275605206 | Sharon Marie Tomaski | Otolaryngology | 620 W Grove St Ste 201, El Dorado, AR 71730-4425 | 2006-11-14 |
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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.