JERRY W DANIEL (NPI# 1639294820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639294820 |
| Entity Type | Individual |
| Full Name | JERRY W DANIEL |
| Credential | THERAPY DIR. |
| Practice Address |
3470 Landers Rd North Little Rock AR 72117-2541 |
| Mailing Address |
720 Cool Springs Blvd Franklin TN 37067-2626 |
| Practice Telephone | 6157784066 |
| Mailing Telephone | 6157784066 |
| Mailing Fax Number | 6157789114 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
359 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861769861 | Jerry B. Daniel | Counselor | 1395 David Mullis Rd, Rentz, GA 31075-3219 | 2011-11-19 |
| 1326296310 | Jerry Daniel | Anesthesiology | 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 | 2008-09-03 |
| Street Address |
3470 LANDERS RD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164400412 | Marcia L Hixson | Specialist | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2006-01-06 |
| 1780239327 | Constance Marie Williams | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2019-08-08 |
| 1831743699 | Justin Moore | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117 | 2019-07-30 |
| 1609201136 | Dustin Howard | Physical Therapist | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2013-09-03 |
| 1780843565 | Deanne J. Fortson | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2008-06-05 |
| 1982729034 | Cynthia M Noah | Nurse Practitioner | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1699890749 | Michelle J Ibsen | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1760507891 | Shannon Ayers | Physical Medicine & Rehabilitation | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 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 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699890749 | Michelle J Ibsen | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235640384 | Healthstat Onsite Clinic Hsm Fort Smith | Preventive Medicine | 4925 State Line Rd, Fort Smith, AR 72916-4145 | 2017-10-17 |
| 1457601007 | Healthstat Arkansas/pace Ind- Harrison | Preventive Medicine | 513 Hwy 62/65 Bypass North, Harrison, AR 72602 | 2012-09-11 |
| 1154449809 | Janan R. Lane | Preventive Medicine | 3721 E Us 412 Hwy, Ste C, Siloam Springs, AR 72761 | 2007-03-27 |
| 1649365651 | Scott W.f. Carle | Preventive Medicine | 10101 Mabelvale Plaza, Ste 3, Little Rock, AR 72205 | 2006-10-04 |
| 1124493523 | Healthstat Onsite Clinic Abcbs Riverfront | Preventive Medicine | 401 W Capitol Ave, Little Rock, AR 72201-3421 | 2015-12-10 |
| 1295113959 | Healthstat Onsite Clinic Arkansas Children's Hospital | Preventive Medicine | 1919 W 12th St, Little Rock, AR 72202-4551 | 2015-05-14 |
| 1568725158 | Healthstat On-site Clinic/abcbs | Preventive Medicine | 401 W Capitol Ave, Suite 345, Little Rock, AR 72201-3421 | 2012-06-19 |
| 1780709824 | Eric Holifield | Preventive Medicine | 10101 Mabelvale Plaza Dr Ste 3, Little Rock, AR 72209-5932 | 2007-03-20 |
| 1295793818 | Shirin Ramani Desilva | Preventive Medicine | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2006-05-03 |
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
Please comment or provide details below to improve the information on JERRY W DANIEL.
| 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.