MR. RACE SHELBY (NPI# 1598328486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598328486 |
| Entity Type | Individual |
| Full Name | MR. RACE SHELBY |
| Credential | SRNA |
| Practice Address |
5201 Northshore Dr North Little Rock AR 72118-5312 |
| Mailing Address |
3013 Martineau Pl North Little Rock AR 72116-8546 |
| Practice Telephone | 5017488000 |
| Mailing Telephone | 8704891285 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5201 NORTHSHORE DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72118-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466626 | Arkansas Surgical Hospital, LLC | Family Medicine | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2020-08-03 |
| 1447818554 | Brian Lee Sirak | Nurse Practitioner | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2019-06-04 |
| 1851764856 | Jonathon Michael Mccrary | Physician Assistant | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2015-11-12 |
| 1366839136 | Pamela Hughey | Nurse Practitioner | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2015-04-20 |
| 1437551363 | Erika Rene Funmaker | Nurse Practitioner | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2014-09-23 |
| 1013131275 | Ali I Raja | Neurological Surgery | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 | 2007-04-12 |
| 1144312448 | Jessica Laile Baker | Nurse Anesthetist, Certified Registered | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2006-09-28 |
| 1245260140 | Leslie H Sessions | Emergency Medicine | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2006-07-04 |
| 1255397337 | Neuroscience Associates Pa | Physical Medicine & Rehabilitation | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 | 2006-04-26 |
| 1205806692 | James Zachary Mason | Neurological Surgery | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 | 2006-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053686964 | Advanced Pathology Solutions, LLC | Pathology | 4850 Northshore Lane, North Little Rock, AR 72118 | 2012-03-12 |
| 1174818371 | Sharee L. Young | Counselor | 3000 West Scenic Drive, North Little Rock, AR 72118 | 2011-06-15 |
| 1952474454 | Michael Dan Grounds | Dentist | 4720 Camp Robinson Road, Suite B, North Little Rock, AR 72118 | 2006-11-15 |
| 1831169762 | Jennifer Stratton Do | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2006-01-24 |
| 1871018515 | Ash Urgent Care, Pa | Clinic/Center | 5201 Northshore Drive, North Little Rock, AR 72118 | 2017-08-03 |
| 1154619187 | Megan Grace Lockyer | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-07-12 |
| 1154617843 | Theodore Chang | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-06-22 |
| 1578884383 | Sarah Winter Lindley | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2010-06-15 |
| 1003073628 | Amy L Collinsworth | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2008-05-21 |
| 1770621658 | Nancy Kang Davis | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2007-02-02 |
| Find all providers in zip 72118 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1407419690 | Whitney Birch | Student in an Organized Health Care Education/Training Program | 3505 Mccord Dr, North Little Rock, AR 72116-9355 | 2019-04-15 |
| 1548730260 | Shanan Mahal | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 200, North Little Rock, AR 72117-2910 | 2018-11-26 |
| 1114556370 | Bobie Jo Widders | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-04-08 |
| 1598394074 | Binish Lone | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-06 |
| 1992334841 | Hafiz Amin | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-03 |
| 1114556123 | Ahmad Abdulmajid | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-02 |
| 1396374450 | Qianfang Cai | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-02 |
| 1184253189 | Zina Al-sabbagh | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-02 |
| 1285263244 | Omar Jasim | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-02 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72118 |
Please comment or provide details below to improve the information on MR. RACE SHELBY.
| 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.