REX EDWARD LUTTRELL MD PA (NPI# 1548276223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548276223 |
Entity Type | Organization |
Organization Name | REX EDWARD LUTTRELL MD PA |
Practice Address |
1300 Braden St Pod B Jacksonville AR 72076-3719 |
Mailing Address |
Po Box 5209 Jacksonville AR 72078-5209 |
Practice Telephone | 5019784343 |
Practice Fax Number | 5019758995 |
Mailing Telephone | 5019784343 |
Mailing Fax Number | 5019758995 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2009-08-25 |
Authorized Official Name | REX E LUTTRELL (OWNER) |
Authorized Official Telephone | 5019784343 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | MC2274 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 149546002 | 05 |
Street Address |
1300 BRADEN ST POD B |
City | JACKSONVILLE |
State | AR |
Zip Code | 72076-3719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689679169 | Physicians Network Inc. | Internal Medicine | 1300 Braden St, Jacksonville, AR 72076-3719 | 2005-06-20 |
1508414152 | Marsha Moore Bertasi | Occupational Therapist | 1300 Braden St, Jacksonville, AR 72076-3719 | 2019-08-27 |
1093161069 | Drew Siebenmorgen | Physician Assistant | 1300 Braden St, Jacksonville, AR 72076-3719 | 2016-05-10 |
1043681349 | John Glenn | Physical Therapist | 1300 Braden St, Jacksonville, AR 72076-3719 | 2015-10-13 |
1144691445 | Jason Johnson | Physical Therapist | 1300 Braden St, Jacksonville, AR 72076-3719 | 2015-10-13 |
1730550203 | Farrer Physical Therapy Inc | Physical Therapist | 1300 Braden St, Jacksonville, AR 72076-3719 | 2015-10-09 |
1396130431 | John David Wilkins | Family Medicine | 1300 Braden St, Jacksonville, AR 72076-3719 | 2015-04-06 |
1548671407 | Hejny Enterprises Inc. | Pharmacy | 1300 Braden St, Jacksonville, AR 72076-3719 | 2014-05-14 |
1710306089 | Aaron Roberds | Family Medicine | 1300 Braden St, Jacksonville, AR 72076-3719 | 2014-04-15 |
1407810898 | Mark A Peterson | Family Medicine | 1300 Braden St, Jacksonville, AR 72076-3719 | 2006-04-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
Find all providers in zip 72076 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
1922577626 | Grettel Wentling | Surgery | 7915 Turnstone Cir E, Jacksonville, FL 32256-2358 | 2018-11-26 |
1083030977 | Min Li Xu | Surgery | 2 Shircliff Way Ste 500, Jacksonville, FL 32204-4763 | 2014-03-15 |
1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
1437414935 | Daniel Richard Martin | Surgery | 4205 Belfort Rd Ste 3030, Jacksonville, FL 32216-1474 | 2012-07-10 |
1356602221 | Jan-michael Van Gent | Surgery | Navy Medicine Support Command Attn: Medical Staff Serv., Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-06-06 |
1710245840 | Lenka Zachar Md Plc | Surgery | 3 Shircliff Way Ste 500, Jacksonville, FL 32204-4757 | 2012-04-26 |
1992015812 | Ashok Roychoudhury, M.d., P.a. | Surgery | 2032a Southside Blvd, Jacksonville, FL 32216-1944 | 2010-10-13 |
1558682054 | Jonathan Robert Gower | Surgery | Bldg H 2005 Knight Lane, Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2010-06-18 |
1851612683 | Jason Bradley Brill | Surgery | Bldg H 2005 Knight Ln, Navy Medicine Support Command, Attn Medical Staff Serv, Jacksonville, FL 32212 | 2010-06-16 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 72076 |
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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.