GWENDOLYN BRYANT-SMITH (NPI# 1497846364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497846364 |
Entity Type | Individual |
Full Name | GWENDOLYN BRYANT-SMITH |
Credential | MD |
Practice Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
Practice Telephone | 5016868000 |
Practice Fax Number | 5015265148 |
Mailing Telephone | 5016868000 |
Mailing Fax Number | 5015265148 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2008-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
E-4229 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 158049001 | 05 | |
AR | MEDICARE RAILROAD | P00250213 | 01 |
Street Address |
4301 W MARKHAM ST # 783 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205-7101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518960194 | Dennis E Mcdonnell | Neurological Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2005-05-27 |
1255931226 | Satya Narayana Patro | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-10-29 |
1962019182 | Houston Cotton | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-30 |
1144836495 | Andrea Barnes | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-22 |
1053927012 | Abigail E Nichols | Advanced Practice Midwife | 4301 W Markham St # 783, Little Rock, AR 72205-7199 | 2020-09-16 |
1629682653 | Christina Mantione | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-08 |
1467065250 | Christina Louise Rone | Registered Nurse | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
1700499506 | Asjia Johnson | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
1982215968 | Brooke Kathlen Lea | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-12 |
1003424243 | Rachel Sloan | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
Find all providers in zip 72205 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316970122 | Lance K Runion | Radiology | 4301 W Markham, 783, Little Rock, AR 72205-7101 | 2006-07-08 |
1013226869 | Uma Mahesh Matapathi | Radiology | 4301 W Markham St, Uams, Department of Radiology, #556, Little Rock, AR 72205-7101 | 2010-09-28 |
1003025594 | Jamie D Ireland | Radiology | 4300 West 7th Street, John L. Mcclellan Memorial Veterans Hospital, Little Rock, AR 72205 | 2007-05-21 |
1679657696 | Calvin Bice | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-25 |
1679664544 | Manila Bagherzadeh-azar | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
1841398039 | Hemendra R Shah | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-09-20 |
1124037536 | B & N Mri Imaging, LLC | Radiology | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2006-08-05 |
1912915026 | B & N Ct Imaging, LLC | Radiology | 9601 Interstate 630 Exit 7, Medical Towers I, Suite 106, Little Rock, AR 72205-7202 | 2006-08-04 |
1235166703 | James N Wise | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-06-28 |
1366489247 | Bib, LLC | Radiology | 11001 Executive Center Dr, Suite 200, Little Rock, AR 72211-4316 | 2006-06-01 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72205 |
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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.