JAMIE DERUSSE TRAPP (NPI# 1477949238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477949238 |
| Entity Type | Individual |
| Full Name | JAMIE DERUSSE TRAPP |
| Other Name | JAMIE DERUSSE TRAPP |
| Credential | MD |
| Practice Address |
625 United Dr Ste 120 Conway AR 72032 |
| Mailing Address |
625 United Dr Ste 120 Conway AR 72032-7827 |
| Practice Telephone | 5018127521 |
| Mailing Telephone | 5013586720 |
| Mailing Fax Number | 5013586726 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-10411 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750582938 | Jamie E. Trapp | Nurse Practitioner | 1149 Seminole Trl, Charlottesville, VA 22901-2897 | 2007-05-29 |
| Street Address |
625 UNITED DR STE 120 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376758029 | Janell Thompson Vinson | Pediatrics | 625 United Dr Ste 120, Conway, AR 72032 | 2007-05-14 |
| 1558822791 | Kathleen Idella-robichaud Vasquez | Nurse Practitioner | 625 United Dr Ste 120, Conway, AR 72032-7827 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1710513957 | Conway Regional Medical Center, Inc | Family Medicine | 1700 Altus St Ste 110, Conway, AR 72032-4299 | 2020-03-19 |
| 1912543240 | University of Central Arkansas | Family Medicine | 201 Donaghey Ave Uca Student Health Center, Conway, AR 72035-5001 | 2019-11-21 |
| 1588012728 | Arkansas Health Group | Family Medicine | 625 United Dr Ste 120a, Conway, AR 72032-7826 | 2016-05-27 |
| 1477999282 | Michael Paul Carson | Family Medicine | 605 United Dr, Conway, AR 72032 | 2013-05-20 |
| 1427335835 | Brieanna R Breeding | Family Medicine | 2100 Meadowlake Rd Ste 10, Conway, AR 72032-2569 | 2011-11-14 |
| 1710217104 | Billy R Mcbay Md Pa | Family Medicine | 505 E Dave Ward Dr, Ste 3, Conway, AR 72032-7825 | 2010-01-06 |
| 1417118076 | Alexander Tyler | Family Medicine | 455 Elsinger Blvd, Conway, AR 72032-4716 | 2008-06-17 |
| 1336317593 | James L Floyd Jr. | Family Medicine | 128a Professional Park Place, Agape Physicians Care, Conway, SC 29526-9260 | 2008-02-11 |
| 1326246190 | Thad Ridge Hardin | Family Medicine | 2425 Dave Ward Dr Ste 401, Conway, AR 72034 | 2007-07-03 |
| 1235336959 | James Austin Capps Jr. | Family Medicine | Conway Interfaith Clinic, Inc, 830 North Creek Drive, Conway, AR 72032 | 2007-06-27 |
| Find all providers in CONWAY | ||||
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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.