CARL ROBERT MAGNESS (NPI# 1548345606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548345606 |
| Entity Type | Individual |
| Full Name | CARL ROBERT MAGNESS |
| Other Name | C.R. MAGNESS |
| Credential | M.D. |
| Practice Address |
102 W Dickson St Fayetteville AR 72701-5219 |
| Practice Telephone | 4795211114 |
| Practice Fax Number | 4795212540 |
| Mailing Telephone | 4795211114 |
| Mailing Fax Number | 4795212540 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
C4954 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DRIVERS LICENSE | 926497965 | 01 |
| AR | 106381001 | 05 |
| Street Address |
102 W DICKSON ST |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098880 | Collier Pharmacy Services | Pharmacy | 102 W Dickson St, Suite S, Fayetteville, AR 72701-5219 | 2005-07-29 |
| 1427236926 | Dickson Street Clinic | Family Medicine | 102 W Dickson St, Fayetteville, AR 72701-5219 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| Find all providers in zip 72701 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407989155 | John A Keller, Md, PC | Family Medicine | 108 N Park Dr, Fayetteville, GA 30214-1645 | 2007-03-13 |
| 1275590747 | Kanan Chatterjee | Family Medicine | 469 Shawcroft Rd, Fayetteville, NC 28311-2946 | 2006-04-28 |
| 1568626133 | Pamela Lin Harris | Family Medicine | 2000 Fort Bragg Rd, St 3, Fayetteville, NC 28303-7041 | 2008-07-14 |
| 1427236926 | Dickson Street Clinic | Family Medicine | 102 W Dickson St, Fayetteville, AR 72701-5219 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042893 | Kidneysue, LLC | Family Medicine | 216 Summit Ridge Pl, Hot Springs, AR 71901-8671 | 2020-01-21 |
| 1619470275 | Haley Walters | Family Medicine | 210 S Thompson St Ste 5, Springdale, AR 72764-4261 | 2018-03-09 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1649556150 | Joseph Edward Hughes | Family Medicine | 1009 Rossland Dr, Jonesboro, AR 72404-8471 | 2011-10-28 |
| 1104105972 | Shipley & Sills Family Practice, Pllc | Family Medicine | 4003 Massard Rd., Fort Smith, AR 72903 | 2011-08-11 |
| 1649417361 | Gerald Lawrence Guyer | Family Medicine | 2915 Ashley Dr, Conway, AR 72034-7336 | 2009-01-16 |
| 1578759965 | Timothy Ewing Bainum | Family Medicine | 2673 Highway 70 E, Glenwood, AR 71943-8750 | 2007-09-19 |
| 1356563241 | Gil Johnson | Family Medicine | 2511 A College Ave, Conway, AR 72034-6135 | 2007-05-02 |
| 1821172651 | Romana Rayaz | Family Medicine | 4300 W 7th St # West, Little Rock, AR 72205-5446 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
Please comment or provide details below to improve the information on CARL ROBERT MAGNESS.
| 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.