DAVID ANDERSON, MD, PLLC (NPI# 1477977171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477977171 |
Entity Type | Organization |
Organization Name | DAVID ANDERSON, MD, PLLC |
Practice Address |
501 Millwood Cir Suite H Maumelle AR 72113-6327 |
Mailing Address |
Po Box 13805 Maumelle AR 72113-0805 |
Practice Telephone | 5017121998 |
Practice Fax Number | 5017121999 |
Mailing Telephone | 5017121998 |
Mailing Fax Number | 5017121999 |
Enumeration Date | 2014-02-15 |
Last Update Date | 2014-03-27 |
Authorized Official Name | DAVID ANDERSON (OWNER) |
Authorized Official Telephone | 5017121998 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | ARKANSAS STATE MEDICAL BOARD REGISTRATION | MC-3010 | 01 |
Street Address |
501 MILLWOOD CIR SUITE H |
City | MAUMELLE |
State | AR |
Zip Code | 72113-6327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659340826 | Billy Reid Mcbay | Family Medicine | 501 Millwood Cir, Suite E, Maumelle, AR 72113-6327 | 2006-03-17 |
1225547763 | Clarissa Dorsey | Nurse Practitioner | 501 Millwood Cir, Maumelle, AR 72113-6327 | 2017-09-27 |
1972819373 | Salman F. Hashmi, Md Pa | Clinic/Center | 501 Millwood Cir, Suite E, Maumelle, AR 72113-6327 | 2010-08-23 |
1215176177 | Maumelle Sleep Solutions, LLC | Clinic/Center | 501 Millwood Cir, Suite F, Maumelle, AR 72113-6327 | 2009-02-16 |
1245410216 | David E. Anderson | Psychiatry & Neurology | 501 Millwood Cir, Suite H, Maumelle, AR 72113-6327 | 2007-11-07 |
1467573360 | Abeer Salman Hashmi | Family Medicine | 501 Millwood Cir, Suite E, Maumelle, AR 72113-6327 | 2007-04-02 |
1427150036 | Salman F Hashmi | Family Medicine | 501 Millwood Cir, Suite E, Maumelle, AR 72113-6327 | 2006-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104347814 | Shasta Dockery | Registered Nurse | 15020 Wade Blvd., North Little Rock, AR 72113 | 2017-07-03 |
1235669839 | Robert Mitchell Fisher | Specialist/Technologist | 134 Vienne Pl, Maumelle, AR 72113 | 2017-06-15 |
1932516887 | Healthcare Express, LLP | Clinic/Center | 11819 Maumelle Blvd., North Little Rock, AR 72113 | 2014-07-11 |
1184997991 | Preston Lewis | Speech-Language Pathologist | 14 Braeswood Place, Maumelle, AR 72113 | 2012-02-10 |
1740437813 | Jennifer L Franklin | Social Worker | 115 Audubon Dr Ste 9a, Maumelle, AR 72113 | 2008-08-20 |
1861655912 | Dawn Melton Mulkern | Dietitian, Registered | 12 Ninth Fairway Loop, Maumelle, AR 72113 | 2008-07-09 |
1902028723 | Robin Reynolds | Dietitian, Registered | 9300 White Oak Crossing, N Little Rock, AR 72113 | 2007-05-02 |
1316096498 | Caretech Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8010 Counts Massie Rd, Suite B, North Little Rock, AR 72113 | 2007-01-09 |
1548318470 | Supermarket Investors Inc | Pharmacy | 1117 Audubon Dr, Maumelle, AR 72113 | 2007-01-08 |
1821177353 | Maumelle Investments & Associates, LLC | Skilled Nursing Facility | 103 Alexandria Drive, Maumelle, AR 72113 | 2006-11-03 |
Find all providers in zip 72113 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1114013349 | Paragould Urology | Clinic/Center | 1000 W Kingshighway Ste 8, Paragould, AR 72450-4197 | 2006-10-05 |
1588775464 | Wren & Barrow Ob Gyn Pllc Pa | Clinic/Center | 628 Hospital Dr Ste 2a, Mountain Home, AR 72653-2937 | 2006-08-31 |
1366450421 | Rehab and Pain Managment Clinic Inc. | Clinic/Center | 1201, Fleming Ave., Health South Rehablitation Hospital of Jonesboro, Jonesboro, AR 72403 | 2006-08-04 |
1952318099 | Prime Medical Imaging, A Division of Radiologists, P.a. | Clinic/Center | 320 S 9th St, Van Buren, AR 72956-5826 | 2006-08-02 |
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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.