THRONEBERRY FAMILY CLINIC, P.A. (NPI# 1538296256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538296256 |
Entity Type | Organization |
Organization Name | THRONEBERRY FAMILY CLINIC, P.A. |
Practice Address |
2869 College Ave Conway AR 72034-6087 |
Practice Telephone | 5013272611 |
Practice Fax Number | 5013369763 |
Mailing Telephone | 5013272611 |
Mailing Fax Number | 5013369763 |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JAMES BARTON THRONEBERRY (OWNER) |
Authorized Official Telephone | 5013272611 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | MC1741 | AR | Ambulatory Health Care Facilities |
Street Address |
2869 COLLEGE AVE |
City | CONWAY |
State | AR |
Zip Code | 72034-6087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316949308 | James Barton Throneberry | Family Medicine | 2869 College Ave, Conway, AR 72034-6087 | 2005-08-10 |
1033346358 | Brandon M Thurow | Emergency Medicine | 2869 College Ave, Conway, AR 72034-6087 | 2009-06-12 |
1558547919 | Michelle D Robinson | Physician Assistant | 2869 College Ave, Conway, AR 72034-6087 | 2008-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1336361609 | Alternative Medical Arts | Clinic/Center | 602 Oak St # A, Conway, AR 72032-4445 | 2007-05-03 |
1396870226 | Mccarron Therapy & Consulting Services | Clinic/Center | 505 Dave Ward Dr, Suite 3, Conway, AR 72032-7834 | 2007-02-22 |
1447212204 | Conway Outpatient Surgery Center | Clinic/Center | 1377 Hwy 64 West, Conway, AR 72032 | 2006-04-05 |
1700311222 | Arkansas Health Group | Clinic/Center | 625 United Dr, Suite 330, Conway, AR 72032 | 2017-04-21 |
1710136908 | Coastal Carolina University | Clinic/Center | 204 University Blvd, Conway, SC 29526-8834 | 2008-09-12 |
1982888996 | Baker Eye Institute | Clinic/Center | 810 Merriman St, Conway, AZ 72032-4436 | 2007-12-27 |
1891786612 | Baker Eye Institute | Clinic/Center | 810 Merriman St, Conway, AR 72032-4436 | 2005-11-01 |
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1508411422 | Sbs Investments LLC | Clinic/Center | 3114 Fox Rd Ste D, Jonesboro, AR 72404-9577 | 2019-08-07 |
1093368623 | Taylored Therapies, Pllc | Clinic/Center | 1004 Beau Terre Dr Ste 507, Bentonville, AR 72712-6799 | 2019-07-23 |
1811553555 | Diet of A Lifetime, LLC | Clinic/Center | 123 S Pine St, Pine Bluff, AR 71601-4222 | 2019-05-17 |
1043777436 | Amethyst Chiropractic | Clinic/Center | 1100 Mallard Pl Ste A, Bentonville, AR 72712-6850 | 2019-02-21 |
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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.