CARL ROBERT MAGNESS


Address: 102 W Dickson St, Fayetteville, AR 72701-5219
Phone: 4795211114

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
C4954 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR DRIVERS LICENSE 926497965 01
AR 106381001 05

Office Location

Street Address 102 W DICKSON ST
City FAYETTEVILLE
State AR
Zip Code 72701-5219

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
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1952892390 Ambur Dryer Specialist/Technologist 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 2018-05-22
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FAYETTEVILLE
Zip Code 72701

Improve Information

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Dataset Information

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.

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