CADDOES EMERGENCY PHYSICIANS LLC (NPI# 1528250560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528250560 |
| Entity Type | Organization |
| Organization Name | CADDOES EMERGENCY PHYSICIANS LLC |
| Practice Address |
225 E Jackson Ave Jonesboro AR 72401-3119 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 8709724272 |
| Practice Fax Number | 2147122444 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | MR. ROSS R RONAN (VICE PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
225 E JACKSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878867 | Richard R Reinholtz | Radiology | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2005-06-01 |
| 1528668241 | David Daniel Joel Hoffman II | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-10-30 |
| 1003425315 | Jesse Ash | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-07-23 |
| 1205457090 | Linda Gail Brown | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-05-03 |
| 1225689151 | Rocio Emy Roades | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-09-23 |
| 1992350730 | Leslie Britton | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-08-08 |
| 1538729116 | Leah Gathright | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-06-17 |
| 1831753243 | Katherine Ann Mcfarlin | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-05-01 |
| 1336602549 | Terrance Matthew Kane | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-13 |
| 1841753324 | Aldo Giovanni Estella | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780996793 | Bradford Wayne Stewart | Emergency Medicine | 2007 E Nettleton Ave Ste B, Jonesboro, AR 72401 | 2010-07-07 |
| 1891925566 | Trushnaa Patel | Emergency Medicine | 940 Windmill Ct, Jonesboro, GA 30236-4257 | 2009-07-16 |
| 1942442900 | William B Baker IIi | Emergency Medicine | 2417 Sea Island, Jonesboro, AR 72404 | 2009-04-06 |
| 1205896347 | Danny Eugene Grubbs | Emergency Medicine | 3202 Methodist Dr, Jonesboro, AR 72401-7408 | 2006-03-24 |
| 1043286230 | Dirk Timothy Rainwater | Emergency Medicine | 103 Watts St, Jonesboro, LA 71251-2053 | 2006-02-27 |
| 1427038678 | Mickey Brian Deel | Emergency Medicine | 225 E Jackson St, Jonesboro, AR 72401 | 2006-01-21 |
| 1316357270 | Zachary Lloyd Stevenson | Emergency Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2014-04-30 |
| 1427492610 | Christopher M Fallon | Emergency Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2013-04-18 |
| 1063855302 | Justin Michael Baggs | Emergency Medicine | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2013-04-16 |
| 1285865154 | Kereem Marlow | Emergency Medicine | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2009-07-27 |
| Find all providers in JONESBORO | ||||
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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.