DR. PEARL ANNE SAMUEL (NPI# 1407114978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407114978 |
| Entity Type | Individual |
| Full Name | DR. PEARL ANNE SAMUEL |
| Credential | M.B.B.S |
| Practice Address |
2000 S 42nd St Suit 100 Rogers AR 72758-2001 |
| Mailing Address |
2000 S 42nd St Ste Ste 100 Rogers AR 72758 |
| Practice Telephone | 4792739173 |
| Mailing Telephone | 4792739173 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-9400 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2000 S 42ND ST SUIT 100 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152699 | John G. Price | Internal Medicine | 2000 S 42nd St, Ste 100, Rogers, AR 72758-2001 | 2005-08-24 |
| 1497127021 | Arkansas Medical Imaging Jv LLC | Clinical Medical Laboratory | 2000 S 42nd St, Suite 110, Rogers, AR 72758-2001 | 2015-10-22 |
| 1336535350 | Amanda Johnson | Nurse Practitioner | 2000 S 42nd St, Suite 100, Rogers, AR 72758-2001 | 2015-04-07 |
| 1043629900 | Walker Dyer | Nurse Practitioner | 2000 S 42nd St, Ste 100, Rogers, AR 72758-2001 | 2014-08-05 |
| 1649680570 | Arkansas Medical Imaging Jv LLC | Clinic/Center | 2000 S 42nd St, Rogers, AR 72758-2001 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1770100752 | Totem Health Pllc | Family Medicine | 1001 S 52nd St Ste 2, Rogers, AR 72758-8610 | 2020-06-25 |
| 1477932242 | Kylie Quick Rhodes | Family Medicine | 2603 W Pleasant Grove Rd Ste 109, Rogers, AR 72758-8514 | 2015-05-26 |
| 1689081762 | John A Huskins Md LLC | Family Medicine | 6 S Clubhouse Dr, Rogers, AR 72758-9563 | 2014-07-21 |
| 1760521777 | Nicole M. Scally | Family Medicine | 2000 S Promenade Blvd, Suite 202, Rogers, AR 72758-9073 | 2007-02-06 |
| 1700806833 | Sara Frankwick | Family Medicine | 14040 Northdale Blvd, Suite 100, Rogers, MN 55374-9612 | 2006-07-20 |
| 1366409930 | David J Foscue | Family Medicine | 1615 W Persimmon St, Rogers, AR 72756-3359 | 2006-04-27 |
| 1831159219 | Kari Ann Hegg | Family Medicine | 14165 James Rd Ste 107, Rogers, MN 55374-9420 | 2006-03-28 |
| 1386613503 | Ornette L Gaines | Family Medicine | 1233 W Poplar St, Rogers, AR 72756-4245 | 2006-03-17 |
| 1164496105 | Caleb O Gaston | Family Medicine | 5206 Village Pkwy Ste 10, Rogers, AR 72758-8137 | 2006-02-15 |
| Find all providers in ROGERS | ||||
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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.