MICHAEL GRAEME NOLAN (NPI# 1407334832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407334832 |
| Entity Type | Individual |
| Full Name | MICHAEL GRAEME NOLAN |
| Credential | LAT, ATC |
| Practice Address |
201 Donaghey Ave Conway AR 72035-5001 |
| Mailing Address |
3034 Donnell Ridge Rd Apt 104 Conway AR 72034-8684 |
| Practice Telephone | 5014505000 |
| Mailing Telephone | 8168203427 |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2018-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
827 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144552233 | Michael Josepeh Nolan | Specialist/Technologist | 1 College Park Dr, Saint Louis, MO 63141-8660 | 2010-02-01 |
| 1306047527 | Michael John Nolan | Physician Assistant | 310 Pine Hill, Pine Hill, NM 87357 | 2007-05-29 |
| 1174744486 | Michael J Nolan | Dentist | 3633 W. Lake Ave., Ste. #414, Glenview, IL 60026-5804 | 2007-05-02 |
| 1356460257 | Michael Edward Nolan | Dentist | 15 Sherman Ave, Corinth, NY 12822 | 2007-03-29 |
| 1437237641 | Michael Franklin Nolan Sr. | Dentist | 1101 Royal Ave Suite B, Monroe, LA 71201 | 2006-11-02 |
| 1518567957 | Michael Joseph Nolan | Pharmacist | 2201 Michigan Ave, Arnold, MO 63010-2151 | 2020-10-26 |
| 1184245565 | Michael Nolan | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-04-27 |
| 1700417581 | Michael Nolan | Pharmacist | 2215 Fuller Road, Db12, Ann Arbor, MI 48105 | 2020-01-30 |
| 1881119584 | Michael Q Nolan | Counselor | 920 Saratoga Ave Ste 212, San Jose, CA 95129-3408 | 2017-08-03 |
| 1013467380 | Michael Nolan | Pharmacist | 941 Alamo Dr, Vacaville, CA 95687-5601 | 2016-10-10 |
| Street Address |
201 DONAGHEY AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72035-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831154335 | David Edward Strickland | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2006-04-18 |
| 1235749359 | Jm Wellness, LLC | Dietitian, Registered | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-08-04 |
| 1871123968 | Holly Jo Langster | Nurse Practitioner | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-01-17 |
| 1548810971 | Canyon Wes Barber | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-09-17 |
| 1205485778 | Aaron Smith | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-09-08 |
| 1093367666 | Dee Misenheimer Lance | Speech-Language Pathologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-07-12 |
| 1922669241 | Quincey Powell | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-06-26 |
| 1205390333 | Sarah Marie Szcinski | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-01-23 |
| 1487126652 | Jacob Riba | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2018-12-27 |
| 1275003303 | Halle Lambert | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5003 | 2018-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1720516289 | Wendy A Magbanua | Case Manager/Care Coordinator | 317 Lower Ridge Rd, Conway, AR 72035-0001 | 2017-05-30 |
| 1639227929 | Dominic L Moreno | Specialist/Technologist | 128 Uca Prince Ctr, 201 Donaghey, Conway, AR 72035-0001 | 2007-01-05 |
| 1770546152 | Ellen Epping | Specialist/Technologist | University of Central Arkansas, Prince Center 133e, Conway, AR 72035-0001 | 2006-04-07 |
| 1982667465 | Stephen David Hornor | Specialist/Technologist | University of Central Arkansas, Prince Center - Room 133c, Conway, AR 72035-0001 | 2006-04-07 |
| 1912543240 | University of Central Arkansas | Family Medicine | 201 Donaghey Ave Uca Student Health Center, Conway, AR 72035-5001 | 2019-11-21 |
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805597 | Cheyenne Ashley-susan Buksch | Specialist/Technologist | 124 Vassal Ct, Conway, SC 29526-1145 | 2020-06-08 |
| 1205457017 | Heather Melton Lee | Specialist/Technologist | 252 Maidens Choice Rd, Conway, SC 29527-3418 | 2020-05-04 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1366920647 | Madison Lynn Johnston | Specialist/Technologist | 104 Founders Dr, Conway, SC 29526-8658 | 2018-07-30 |
| 1356839096 | Madison Nichole Putman | Specialist/Technologist | 3430 Irby Dr Apt 2309, Conway, AR 72034-7692 | 2018-04-27 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1306351069 | Issei Miyaguchi | Specialist/Technologist | 2201 Moix Blvd Apt 615, Conway, AR 72034-6975 | 2017-12-04 |
| 1487174942 | Andrew Hastings | Specialist/Technologist | 2730 Dave Ward Dr Apt 412b, Conway, AR 72034-6447 | 2017-06-26 |
| 1972031870 | Meredith Morgan | Specialist/Technologist | 409 S Hampton Dr, Conway, AR 72034-4847 | 2017-05-23 |
| 1205361029 | Cody Walker | Specialist/Technologist | 540 Cherub Dr, Conway, AR 72034-3363 | 2017-04-30 |
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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.