JASON S MIZELL (NPI# 1639107394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639107394 |
| Entity Type | Individual |
| Full Name | JASON S MIZELL |
| Credential | M.D. |
| Practice Address |
4301 W Markham St #520-1 Little Rock AR 72205-7101 |
| Mailing Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
| Practice Telephone | 5016868000 |
| Mailing Telephone | 5016868000 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | E6532 | AR | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | MD200284 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
4301 W MARKHAM ST #520-1 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998487 | Jan K Hastings | Pharmacist | 4301 W Markham St, #522, Little Rock, AR 72205-7101 | 2005-08-04 |
| 1043810971 | Prashanth Reddy Damalcheruvu | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7199 | 2020-10-29 |
| 1114533619 | Nitesh Gautam | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-09-20 |
| 1891301818 | Rachel Rosenbaum | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-09-16 |
| 1477164861 | Ashtyn Leann Knowles | Dietitian, Registered | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-08-11 |
| 1700404118 | Candace Johnson | Social Worker | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-07-12 |
| 1851919245 | Omar Alqaisi | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-07-11 |
| 1295364578 | Julie Michelle Nessler | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-04-07 |
| 1346879079 | Brian Wesley Rhea | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7199 | 2020-04-04 |
| 1265060388 | Erin Elizabeth Hall | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Slot 517, Little Rock, AR 72205-7101 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336462332 | Arkansas Health Group | Colon & Rectal Surgery | 500 S University Ave Ste 321, Little Rock, AR 72205-5305 | 2010-03-04 |
| 1023286051 | Lance Kyle Burns | Colon & Rectal Surgery | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2008-02-12 |
| 1730297979 | Lee Cecil Raley | Colon & Rectal Surgery | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2006-08-28 |
| 1306855457 | Charles Hawkins Crocker | Colon & Rectal Surgery | 500 S University, #321, Little Rock, AR 72205 | 2006-08-07 |
| 1144257882 | Kurtis S. Vinsant | Colon & Rectal Surgery | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2006-06-27 |
| 1750352373 | Gabriel Matonba Peal | Colon & Rectal Surgery | 500 S University Ave, Ste 221, Little Rock, AR 72205-5304 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004109 | Washington Regional Medical System | Colon & Rectal Surgery | 203 S Bloomington St, Lowell, AR 72745-9490 | 2016-10-18 |
| 1801826037 | David K.a. Magee | Colon & Rectal Surgery | 203 South Bloomington Street, Lowell, AR 72745 | 2006-07-04 |
| 1538125638 | Hollis T Rogers IIi | Colon & Rectal Surgery | 3352 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-04-26 |
| 1093782815 | William B Nowlin | Colon & Rectal Surgery | 3000 N Market Ave, Suite D, Fayetteville, AR 72703-3514 | 2006-03-01 |
| 1386070027 | Irlna Ingrid Tantchou | Colon & Rectal Surgery | 3352 N Futrall Dr, Fayetteville, AR 72703-4057 | 2013-09-25 |
| 1740219997 | Colon & Rectal Surgical Associates | Colon & Rectal Surgery | 3000 N Market Ave, Suite D, Fayetteville, AR 72703-3514 | 2006-07-01 |
| 1508895988 | Thomas C. Sullivan | Colon & Rectal Surgery | 400 Crestwood Cir, Suite L, Mena, AR 71953-5511 | 2006-06-30 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.