JACK A GRIEBEL JR. (NPI# 1598793754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598793754 |
| Entity Type | Individual |
| Full Name | JACK A GRIEBEL JR. |
| Credential | M.D. |
| Practice Address |
1555 Exchange Ave Conway AR 72032-7824 |
| Mailing Address |
9601 Baptist Health Drive Med Towers 1, Suite 900 Little Rock AR 72205 |
| Practice Telephone | 5015852000 |
| Mailing Telephone | 5012241135 |
| Mailing Fax Number | 5012241253 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
C6414 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 110817001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10001 Lile Dr, Little Rock, AR 722056217 | 5012278000 | 5012215840 |
| Street Address |
1555 EXCHANGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-7824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052931 | Thomas Gene Alfano | Anesthesiology | 1555 Exchange Ave, Conway, AR 72032-7824 | 2005-11-30 |
| 1154816098 | Matthew Brister | Nurse Practitioner | 1555 Exchange Ave, Conway, AR 72032-7824 | 2018-06-23 |
| 1255851515 | Brett Alan Morris | Nurse Practitioner | 1555 Exchange Ave, Conway, AR 72032-7824 | 2017-06-27 |
| 1720508195 | Sheza Tauheed Khawaja | Internal Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2017-06-26 |
| 1275084188 | Conway Community Services | Radiology | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-10-17 |
| 1669922308 | Teryn Denae Laseter | Personal Emergency Response Attendant | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-10-05 |
| 1083163638 | Lance Kennedy Harris | Physician Assistant | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-09-23 |
| 1699221853 | Lachan Elizabeth Siebenmorgen | Physician Assistant | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-08-28 |
| 1790147106 | Conway Community Services | Rehabilitation Unit | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-03-24 |
| 1609258938 | Hira Cheema | Internal Medicine | 1555 Exchange Ave, Conway, AR 72032 | 2015-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801235304 | Alok Surana | Internal Medicine | 525 Western Ave Ste 305, Conway, AR 72034-4982 | 2013-06-18 |
| 1104159110 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Ste 100, Conway, SC 29526-8964 | 2009-09-09 |
| 1285646083 | Conway Hospital Services | Internal Medicine | 128 Professi Pk Dr, Conway, SC 29526-8964 | 2006-08-12 |
| 1235108697 | Tyrone Lee | Internal Medicine | 3700 College Ave, Conway, AR 72034-7259 | 2006-03-16 |
| 1427039726 | Herbie Seymour Bryan | Internal Medicine | 2376 Cypress Cir Ste 100, Conway, SC 29526-8964 | 2005-11-14 |
| 1033244793 | Conway Hospital Community Services | Internal Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2007-02-22 |
| 1215954086 | Conway Pulmonology Clinic, Pa | Internal Medicine | 3700 College Ave, Conway, AR 72034-7259 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031714 | Nizar Suleman Md LLC | Internal Medicine | 115 Summertime Bay, Hot Springs, AR 71913-1839 | 2020-04-13 |
| 1609317429 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr Ste 900, Little Rock, AR 72205-6331 | 2017-03-13 |
| 1801207857 | Nathan Thomas Hill | Internal Medicine | 5800 W 10th St Ste 610, Little Rock, AR 72204-1761 | 2014-05-13 |
| 1831445261 | Krishna Siva Sai Kakkera | Internal Medicine | 16 Hospital Cir Ste A, Batesville, AR 72501-7343 | 2012-08-03 |
| 1538460951 | Muhammad Qasim Salar Mir | Internal Medicine | 2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 | 2010-11-17 |
| 1134385735 | Janice J Gunnels | Internal Medicine | 238 Marsh Harbor Dr, Hot Springs, AR 71913-7766 | 2008-08-03 |
| 1215196233 | Shahla Gul Naoman | Internal Medicine | 16 Hospital Cir, Batesville, AR 72501-7343 | 2008-06-05 |
| 1396954228 | Jefferson Pulm Cc Pa | Internal Medicine | 606 Roberts Drive, Monticello, AR 71655 | 2007-05-21 |
| 1104981737 | William Lee Mason | Internal Medicine | Pob 1437 Slot H-61, Arkansas Dept of Health, Little Rock, AR 72203-1437 | 2006-12-26 |
| 1467537324 | Baxter County Regional Hospital | Internal Medicine | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952 | 2006-10-26 |
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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.