DR. THOMAS GENE ALFANO (NPI# 1629052931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629052931 |
| Entity Type | Individual |
| Full Name | DR. THOMAS GENE ALFANO |
| Credential | M.D. |
| Practice Address |
1555 Exchange Ave Conway AR 72032-7824 |
| Mailing Address |
11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 |
| Practice Telephone | 5012022093 |
| Mailing Telephone | 4807035486 |
| Mailing Fax Number | 5012026316 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | K9478 | TX | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | E-1347 | AR | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 36000 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BA6116188 | 01 |
| Street Address |
1555 EXCHANGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-7824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1760820583 | Megan Taylor | Emergency Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2013-06-14 |
| Find all providers in the same location | ||||
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497053433 | Kristin K Heitman | Anesthesiology | 2425 Prince St Ste 4, Conway, AR 72034-3701 | 2011-02-28 |
| 1326260167 | Casmir Michal Kielar | Anesthesiology | 822 Farrar Dr, Conway, SC 29526-8747 | 2007-05-02 |
| 1902824378 | Richard Blake Kline | Anesthesiology | 1500 Main St, Conway, SC 29526-3569 | 2006-07-17 |
| 1689661696 | Nurse Anesthetist Professionals Inc | Anesthesiology | 1101 Museum Rd Ste 5, Conway, AR 72032-8580 | 2005-10-04 |
| 1629460381 | Atlantic Coast Pain Specialists, Inc | Anesthesiology | 1500 Main St, Conway, SC 29526-3569 | 2015-03-04 |
| 1205095080 | Coastal Carolina Centers of Urology and Surgery LLC | Anesthesiology | 822 Farrar Dr, Conway, SC 29526-8747 | 2008-06-05 |
| 1184882789 | Ihor V Melnytskyy | Anesthesiology | 300 Singleton Ridge Road, Conway Medical Center, Conway, SC 29526 | 2008-05-30 |
| 1992924203 | Jonathan Edward Lee | Anesthesiology | 2302 College Ave, Conway, AR 72034-6297 | 2007-04-25 |
| 1346469681 | Jevin Allen Smith | Anesthesiology | 525 Western Ave, Suite 201, Conway, AR 72034-4967 | 2007-04-25 |
| 1255486452 | Edward Alton Wallace | Anesthesiology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2007-01-25 |
| Find all providers in CONWAY | ||||
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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.