DR. JEFF PAUL HONDERICH (NPI# 1477511434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477511434 |
| Entity Type | Individual |
| Full Name | DR. JEFF PAUL HONDERICH |
| Credential | DO |
| Practice Address |
346 N Main St Decatur AR 72722-9732 |
| Mailing Address |
Po Box 735 Decatur AR 72722-0735 |
| Practice Telephone | 4797523233 |
| Mailing Telephone | 4797523233 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E0188 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
346 N MAIN ST |
| City | DECATUR |
| State | AR |
| Zip Code | 72722-9732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871013359 | Laticia Kay Sheffield | Family Medicine | 346 N Main St, Decatur, AR 72722-9732 | 2017-06-26 |
| 1316338361 | Jesse A Stafford | Physician Assistant | 346 N Main St, Decatur, AR 72722-9732 | 2015-02-12 |
| 1629493549 | Mitchell Atkins | Nurse Practitioner | 346 N Main St, Decatur, AR 72722-9732 | 2014-02-28 |
| 1205848249 | John L Garrett | Family Medicine | 346 N Main St, Decatur, AR 72722-0735 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538244504 | Jerry Lee Young | Pharmacist | 154 Main St, Decatur, AR 72722 | 2006-10-26 |
| 1992842595 | Veronica G Dockery | Physician Assistant | 346 N. Main St, Decatur, AR 72722-0735 | 2007-01-31 |
| 1023028016 | Spavinaw Clinics, Inc | Clinic/Center | 346 N. Main Street, Decatur, AR 72722-0735 | 2006-08-09 |
| 1194330951 | Melissa Logan | Registered Nurse | 8099 Warren Rd, Decatur, AR 72722-9406 | 2020-09-09 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1053461004 | Decatur School District | Local Education Agency (LEA) | 1441 E Roller Ave, Decatur, AR 72722-9650 | 2007-01-11 |
| 1821435108 | Decatur Public Schools | Local Education Agency (LEA) | 1498 Stadium Ave, Decatur, AR 72722-9780 | 2013-05-28 |
| 1639496425 | Kyndel Hope Brecheisen | Nurse Practitioner | 250 S Main St, Decatur, AR 72722-9782 | 2010-05-03 |
| 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 |
|---|---|---|---|---|
| 1982170817 | Health-e LLC | Family Medicine | 1466 Country Squire Dr, Decatur, GA 30033-2414 | 2018-10-18 |
| 1548772536 | D'neka Colzie | Family Medicine | 2663 Easterly Pl, Decatur, GA 30035-4004 | 2017-10-30 |
| 1356862551 | Amruta Dutia | Family Medicine | 102 W Kenwood Ave Ste 102, Decatur, IL 62526-4380 | 2017-06-28 |
| 1962938043 | Atlanta Functional & Integrative Medicine | Family Medicine | 2786 N Decatur Rd, Decatur, GA 30033-5928 | 2017-05-10 |
| 1194179341 | Alexander Bryant Mcqueen | Family Medicine | 2422 Danville Rd Sw Ste E, Decatur, AL 35603-4221 | 2016-04-13 |
| 1609259969 | Vitale Medical Inc | Family Medicine | 3290 Memorial Dr Ste B1, Decatur, GA 30032-3400 | 2015-07-06 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1881036879 | Brigitte B. Nahmias | Family Medicine | 114 Mckoy St, Decatur, GA 30030-4346 | 2013-07-19 |
| 1275976094 | Zachary James Shipp | Family Medicine | 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 | 2013-04-11 |
| 1790023497 | Philip Henry Sharkey | Family Medicine | 4666 E Powers Blvd, Decatur, IL 62521-2549 | 2013-01-30 |
| Find all providers in DECATUR | ||||
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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.