DALAL FARID JACOB (NPI# 1427303437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427303437 |
| Entity Type | Individual |
| Full Name | DALAL FARID JACOB |
| Credential | M.D. |
| Practice Address |
1224 Cherokee Dr Newport AR 72112-9998 |
| Practice Telephone | 8705235360 |
| Mailing Telephone | 8705235360 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
R-3150 | AR | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
R-3150 | AR | Allopathic & Osteopathic Physicians |
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
R-3150 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS STATE MEDICAL LICENSE | R-3150 | 01 |
| Street Address |
1224 CHEROKEE DR |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942415146 | Donald B Macdougall | Pathology | 11 Friendship St, Pathology-lab, Hazard 3, Newport, RI 02840-2209 | 2007-05-11 |
| 1659339174 | Robert William Mcdowell | Pathology | 189 Prouty Dr, North Country Hospital, Newport, VT 05855-9326 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640564 | Aaron Wyble | Pathology | 4301 W Markham St # 503, Little Rock, AR 72205 | 2014-05-08 |
| 1336486430 | William Edward Atkinson Jr. | Pathology | 22 Old Delmonte Drive, Little Rock, AR 72212 | 2013-01-09 |
| 1871870782 | Alex Pappas | Pathology | 1624 Mountain Dr, Little Rock, AR 72227-5837 | 2011-11-05 |
| 1740575810 | John Mcconnell | Pathology | 7220 West Ridge Rd., Roland, AR 72135-9595 | 2011-06-16 |
| 1295025492 | Melody Harrison | Pathology | 1 Lile Ct Ste 101, Little Rock, AR 72205-6239 | 2011-04-10 |
| 1710126529 | Johnnie Mack Boyce | Pathology | 104 Harris Lane, Springdale, AR 72764-2530 | 2009-02-18 |
| 1679719017 | Ericka J Olgaard | Pathology | 4301 W. Markham Street, Slot 502, Little Rock, AR 72205 | 2009-01-06 |
| 1285888446 | Dalton Eugene Packmore | Pathology | 3005 Riverbend Rd, Heber Springs, AR 72543-8616 | 2008-11-13 |
| 1144431883 | Adam J Cole | Pathology | 25 Valley Estates Dr, Little Rock, AR 72212-4412 | 2007-05-24 |
| 1265545099 | Nicole A Massoll | Pathology | 4301 W Markham St # 517, Little Rock, AR 72205-7101 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
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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.