UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCE SOUTH (NPI# 1376939785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376939785 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCE SOUTH |
| Practice Address |
1617 N Washington Magnolia AR 71753-2046 |
| Mailing Address |
1725 Allerford Dr Hanover MD 21076-1798 |
| Practice Telephone | 2404627236 |
| Mailing Telephone | 2404627236 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Authorized Official Name | DR. EDILBERTO DIZON ATIENZA JR. (FAMILY MEDICINE RESIDENT) |
| Authorized Official Telephone | 2404627236 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| Street Address |
1617 N WASHINGTON |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750375895 | University of Arkansas for Medical Sciences | Family Medicine | 1617 N Washington, Magnolia, AR 71753 | 2005-09-05 |
| 1912521253 | Hillary Osita Udeh | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2020-06-02 |
| 1760006001 | Avesahmed Bukhari | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2020-06-02 |
| 1114541448 | Souvonik Adhya | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2020-06-02 |
| 1265090187 | Yehudi Ailynnette Romero | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2019-06-05 |
| 1750949798 | Dauda M Rogers | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2019-06-04 |
| 1285292136 | Kishalay Sinha | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2019-06-04 |
| 1629561808 | Jamie Carey Cisneros | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2018-06-12 |
| 1376036558 | Sasha Fanchon Jennings | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2018-06-12 |
| 1306375084 | Mary Candace Depper | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2017-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346431384 | John Ed Chambers Memorial Hospital, Inc. | General Acute Care Hospital | 310 West Broadway, Havana, AR 72842-0099 | 2007-08-06 |
| 1285739581 | Mena Hospital Commission | General Acute Care Hospital | 311 N Morrow, Mena, AR 71953-2516 | 2006-09-13 |
| 1811556715 | Tori Lynn Laduke | General Acute Care Hospital | 638 California Ave Sw, Camden, AR 71701-4604 | 2019-06-13 |
| 1770143604 | Jan Scantling | General Acute Care Hospital | 638 California Ave Sw, Camden, AR 71701-4699 | 2019-06-13 |
| 1851657415 | Dequeen Medical Center | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2012-04-09 |
| 1588989867 | Pike County Memorial Hospital | General Acute Care Hospital | Po Box F, Murfreesboro, AR 71958-1005 | 2010-03-30 |
| 1932314879 | John Ed Chambers Memorial Hospital | General Acute Care Hospital | 719 Detroit Street, Danville, AR 72833-0639 | 2007-05-14 |
| 1982782223 | Drew Memorial Hospital Homemaker | General Acute Care Hospital | 778 Scogin Dr, Monticello, AR 71655-5729 | 2006-11-02 |
| 1316024409 | Drew Memorial Hospital Targeted Case Management | General Acute Care Hospital | 778 Scogin Dr, Monticello, AR 71655-5729 | 2006-11-01 |
| 1982789178 | Drew Memorial Hospital Respite | General Acute Care Hospital | 778 Scogin Dr, Monticello, AR 71655-5729 | 2006-10-26 |
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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.