CONNIE JIN WARD (NPI# 1407140569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407140569 |
| Entity Type | Individual |
| Full Name | CONNIE JIN WARD |
| Credential | APN |
| Practice Address |
7001 Rogers Ave Suite 200 Fort Smith AR 72903-4073 |
| Mailing Address |
5401 Ellsworth Rd Fort Smith AR 72903-3219 |
| Practice Telephone | 4793147490 |
| Practice Fax Number | 4793147494 |
| Mailing Telephone | 4793144757 |
| Mailing Fax Number | 4793141194 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R73205 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A03542 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | LICENSURE | R73205 | 01 |
| AR | LICENSURE | A03542 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417265398 | Connie Ward | Counselor | 156 Dykes Ln, La Follette, TN 37766-5017 | 2010-09-14 |
| 1427232073 | Connie S. Ward | Licensed Practical Nurse | 26 Pleasant Ct, Delaware, OH 43015-2213 | 2007-12-18 |
| 1215099106 | Connie Louise Ward | Case Manager/Care Coordinator | 10384 Highway 157, Rising Fawn, GA 30738-2219 | 2006-12-15 |
| 1275687584 | Connie Lee Ward | Social Worker | 113 E F St, Tehachapi, CA 93561-1710 | 2007-01-23 |
| 1477617215 | Connie M Ward | Psychologist | 115 Habersham Dr, Fayetteville, GA 30214 | 2006-12-19 |
| Street Address |
7001 ROGERS AVE SUITE 200 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456954 | Andre J Nolewajka | Internal Medicine | 7001 Rogers Ave, Ste 401, Fort Smith, AR 72903-4073 | 2005-06-13 |
| 1083251821 | Kathleen Toon | Registered Nurse | 7001 Rogers Ave, Fort Smith, AR 72903-4073 | 2019-11-27 |
| 1992244800 | Shelly Johnson | Nurse Practitioner | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2017-02-13 |
| 1326388125 | Alesia J Davis | Nurse Practitioner | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2013-02-15 |
| 1134474976 | Aliakbar Rashid Dadla | Internal Medicine | 7001 Rogers Ave, Fort Smith, AR 72903-4073 | 2012-07-18 |
| 1376804609 | Priyanka Sanon | Internal Medicine | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2012-06-04 |
| 1649583923 | Surbhi Chamaria | Internal Medicine | 7001 Rogers Ave, Fort Smith, AR 72903 | 2010-07-15 |
| 1922336031 | Jones Anesthesia Inc | Nurse Anesthetist, Certified Registered | 7001 Rogers Ave, Suite 502, Fort Smith, AR 72903-4073 | 2009-12-01 |
| 1023346202 | Mercy Clinic Fort Smith Communities | Clinic/Center | 7001 Rogers Ave, Suite 401a, Fort Smith, AR 72903-4073 | 2009-11-25 |
| 1477780799 | Eric Anthony Heim | Orthopaedic Surgery | 7001 Rogers Ave, Fort Smith, AR 72903-4073 | 2009-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1194024158 | Melanie Anne Gramling | Nurse Practitioner | 7001 Rogers Ave Ste 401, Fort Smith, AR 72903-4034 | 2011-03-16 |
| 1295209500 | Anastasia Desiree Wilson | Nurse Practitioner | 5210 Grand Ave, Fort Smith, AR 72904-7362 | 2019-01-20 |
| 1093218042 | Stacy L North-flanagan | Nurse Practitioner | 1420 S I St, Fort Smith, AR 72901 | 2018-03-15 |
| 1093193823 | Jennifer Rebecca Tetirick | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2015-05-13 |
| 1558752535 | Chasidy Mcallister | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2015-02-11 |
| 1386042927 | Mandy Lee Fluitt | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2014-12-14 |
| 1114329497 | Travis Walling | Nurse Practitioner | 1000 S Waldron Rd, Fort Smith, AR 72903-4278 | 2014-09-18 |
| 1316361009 | Lou Ann Parker | Nurse Practitioner | 616 S 17th St, Fort Smith, AR 72901-4700 | 2014-02-14 |
| 1851714562 | Stacia Wehunt | Nurse Practitioner | 1500 Dodson Ave, Suite 250, Fort Smith, AR 72901-5182 | 2014-01-31 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on CONNIE JIN WARD.
| 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.