DR. MENDY ACANTHE MACK (NPI# 1508000167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508000167 |
Entity Type | Individual |
Full Name | DR. MENDY ACANTHE MACK |
Credential | MD |
Practice Address |
2708 S Rife Medical Ln Suite T40 Rogers AR 72758-1452 |
Practice Telephone | 4793384000 |
Practice Fax Number | 4793384050 |
Mailing Telephone | 4793384000 |
Mailing Fax Number | 4793384050 |
Enumeration Date | 2009-04-27 |
Last Update Date | 2013-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | E-8012 | AR | Allopathic & Osteopathic Physicians |
Street Address |
2708 S RIFE MEDICAL LN SUITE T40 |
City | ROGERS |
State | AR |
Zip Code | 72758-1452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093763807 | Megan Von Gremp Morgan | Nurse Practitioner | 2708 S Rife Medical Ln, Suite 130, Rogers, AR 72758-1452 | 2006-05-04 |
1427596188 | Matthew Johnson | Health Educator | 2708 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-02-02 |
1043660533 | Starry Taylor | Nurse Practitioner | 2708 S Rife Medical Ln, Rogers, AR 72758-1452 | 2016-06-15 |
1912352055 | Courtney Poe Rushing | Nurse Practitioner | 2708 S Rife Medical Ln, Suite T20, Rogers, AR 72758-1452 | 2016-04-26 |
1265892475 | Robyn Johnson | Nurse Practitioner | 2708 S Rife Medical Ln, Rogers, AR 72758-1452 | 2016-03-01 |
1518323542 | Lindsey Brooke Shaw | Nurse Practitioner | 2708 S Rife Medical Ln, 200, Rogers, AR 72758-1452 | 2016-01-06 |
1972976025 | Miranda Nichole Bowen-perkins | Nurse Practitioner | 2708 S Rife Medical Ln, 140, Rogers, AR 72758-1452 | 2015-11-10 |
1760878508 | Melanie A. Martin | Nurse Practitioner | 2708 S Rife Medical Ln, Suite 130, Rogers, AR 72758-1452 | 2015-04-08 |
1164832085 | Kressa Schuett | Nurse Practitioner | 2708 S Rife Medical Ln, Suite 200, Rogers, AR 72758-1452 | 2014-04-30 |
1700123502 | Elizabeth Faye Heisserer | Nurse Practitioner | 2708 S Rife Medical Ln, Suite 220, Rogers, AR 72758-1452 | 2013-01-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
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Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700107869 | David Randall Deschamps | Obstetrics & Gynecology | 5414 W Pinnacle Pointe Dr Ste 300, Rogers, AR 72758-8956 | 2010-06-11 |
1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
1215960471 | Tiffany N Weathers | Obstetrics & Gynecology | 5204 Village Parkway, Suite #11, Rogers, AR 72758-1452 | 2006-07-09 |
1780642447 | Amy Deanne Sarver | Obstetrics & Gynecology | 3333 Pinnacle Hills Pkwy, Suite 300, Rogers, AR 72758-8952 | 2006-05-03 |
1609833854 | Randall Feezell | Obstetrics & Gynecology | 5501 Pinnacle Point Dr. Suite 4, Rogers, AR 72758 | 2006-04-28 |
1053316745 | James W Smith | Obstetrics & Gynecology | 3333 S Pinnacle Hills Pkwy Ste 600, Rogers, AR 72758 | 2005-06-17 |
1013250265 | Christopher Andrew Hall | Obstetrics & Gynecology | 2708 S Rife Medical Ln Ste T40, Rogers, AR 72758-1474 | 2013-04-05 |
1609036755 | Kale D Dittmeyer | Obstetrics & Gynecology | 2708 Rife Medical Lane, T40, Rogers, AR 72758-1452 | 2008-06-12 |
1417977471 | Joseph J Ivy | Obstetrics & Gynecology | 808 S 52nd St, Rogers, AR 72758-8602 | 2006-07-20 |
1659318939 | Pinnacle Womens Healthcare, LLC | Obstetrics & Gynecology | 3333 Pinnacle Hills Pkwy, Suite 300, Rogers, AR 72758-8952 | 2006-06-02 |
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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.