CRITTENDEN MEMORIAL HOSPITAL (NPI# 1407890213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407890213 |
| Entity Type | Organization |
| Organization Name | CRITTENDEN MEMORIAL HOSPITAL |
| Other Organization Name | SENIOR HEALTH CLINIC |
| Practice Address |
304 S Rhodes St West Memphis AR 72301-4215 |
| Practice Telephone | 8707333867 |
| Practice Fax Number | 8707327707 |
| Mailing Telephone | 8707333867 |
| Mailing Fax Number | 8707327707 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-07-23 |
| Authorized Official Name | MRS. JAMIE MITCHELL (BILLING INSURANCE COORDINATOR) |
| Authorized Official Telephone | 8707333867 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS GROUP | 5F396 | 01 |
| Other Name | Type Code |
|---|---|
| Senior Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134185499 | Crittenden Memorial Hospital | Pediatrics | 228 Tyler Street, Suite 304, West Memphis, AR 72301-4221 | 2006-04-25 |
| Street Address |
304 S RHODES ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679974778 | Alliance Senior Health, Pllc | Internal Medicine | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2014-09-08 |
| 1750577698 | Terri N Moody | Nurse Practitioner | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2007-09-24 |
| 1932319449 | Koyia Latrece Figures | Internal Medicine | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932319449 | Koyia Latrece Figures | Internal Medicine | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992239479 | Bushra Shah Md Pllc | Internal Medicine | 100 Vigne Dr, Little Rock, AR 72223-4581 | 2017-04-12 |
| 1245580539 | Geriatrics Consulting Services Ltd | Internal Medicine | 120 Dellmere Drive, Hot Springs, AR 71913 | 2012-09-13 |
| 1154443372 | Kalpana P Padala | Internal Medicine | 629 Jack Stephens Dr, Little Rock, AR 72205-5525 | 2007-04-06 |
| 1811059363 | Paula M. Podrazik | Internal Medicine | 4301 W. Markham, #783, Little Rock, AR 72205-7101 | 2006-12-14 |
| 1508956079 | David Lipschitz | Internal Medicine | 415 N Mckinley, Suite 130, Little Rock, AR 72205-3013 | 2006-10-13 |
| 1982711891 | Linda Hammond Williams | Internal Medicine | 2200 Fort Roots Dr # 111/nlr, North Little Rock, AR 72114-1709 | 2006-08-24 |
| 1740294032 | Maria Cristina M Judit | Internal Medicine | 4077 Elm Springs Rd, Springdale, AR 72762-3748 | 2006-07-29 |
| 1245268424 | Stephen R. Maes | Internal Medicine | 825 N Spring St, Suite F, Harrison, AR 72601-2942 | 2006-06-28 |
| 1497712640 | Jose Albert Ang Fontanilla Jr. | Internal Medicine | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3703 | 2006-04-28 |
| 1255395752 | Larry Don Wright | Internal Medicine | 1801 Forest Hills Blvd, Suite 201, Bella Vista, AR 72715-3016 | 2006-04-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.