CASEY LEIGH BROCK (NPI# 1649545302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649545302 |
| Entity Type | Individual |
| Full Name | CASEY LEIGH BROCK |
| Credential | APN |
| Practice Address |
2200 Ada Ave Ste 203 Conway AR 72034-4985 |
| Mailing Address |
198 Salmon Ln Russellville AR 72802-2282 |
| Practice Telephone | 5012058389 |
| Practice Fax Number | 8884802845 |
| Mailing Telephone | 5012058389 |
| Mailing Fax Number | 8884802842 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A03651 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881953602 | Casey Simon Brock | Physician Assistant | 194 Missile Avenue, Minot Air Force Base, ND 58705 | 2012-05-14 |
| Street Address |
2200 ADA AVE STE 203 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152329 | Rafael Jorge Marrero | Otolaryngology | 2200 Ada Ave, Suite 202, Conway, AR 72034 | 2005-05-24 |
| 1255879656 | Conway Regional Medical Center, Inc. | Psychiatry & Neurology | 2200 Ada Ave, Suite 305, Conway, AR 72034-4985 | 2017-02-06 |
| 1568820389 | Kara Lindsey Sierra | Nurse Practitioner | 2200 Ada Ave, Conway, AR 72034-4985 | 2016-02-08 |
| 1861725871 | Conway Emergency Physicians, P.a. | General Practice | 2200 Ada Ave, Conway, AR 72034-4985 | 2009-09-09 |
| 1407001720 | Samuel Cary Kelso | Audiologist-Hearing Aid Fitter | 2200 Ada Ave, Suite 202, Conway, AR 72034-4985 | 2008-12-01 |
| 1427202639 | Conway Emergency Physicians, P.a. | General Practice | 2200 Ada Ave, Conway, AR 72034-4985 | 2008-11-14 |
| 1790886463 | Conway Digestive Health Center, Inc. | Internal Medicine | 2200 Ada Ave, Suite 201, Conway, AR 72034-4985 | 2006-09-26 |
| 1093772436 | Central Arkansas Ear Nose & Throat Clinic | Otolaryngology | 2200 Ada Ave, Ste 202, Conway, AR 72034 | 2006-04-28 |
| 1821059759 | Arkansas Neurology, Inc. | Neuromusculoskeletal Medicine & OMM | 2200 Ada Ave, Conway, AR 72034-4985 | 2006-03-30 |
| 1588625412 | Schluterman Neurology, Inc. | Neuromusculoskeletal Medicine & OMM | 2200 Ada Ave, Conway, AR 72034-4985 | 2006-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134356942 | Stacy Harris | Nurse Practitioner | 525 Western Ave Ste 304, Conway, AR 72034-4981 | 2009-06-18 |
| 1154669265 | Rachel M Collins | Nurse Practitioner | 2367b Cypress Cir, Conway, SC 29526-8921 | 2013-01-24 |
| 1871756395 | Lane Gray Wagnon | Nurse Practitioner | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2008-07-03 |
| 1942378823 | Gloria Ruth Cote | Nurse Practitioner | 298 White Mountain Hwy, Conway, NH 03818-4204 | 2006-12-01 |
| 1942378625 | Margaret Mary Riforgiato | Nurse Practitioner | 298 White Mountain Hwy, Conway, NH 03818-4204 | 2006-12-01 |
| 1184729717 | Cynthia Stevens Hasiuk | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1548802309 | Jazzmon Nicole Trice | Nurse Practitioner | 8400 Highway 386 East, Wrightsville, AR 72183 | 2019-10-14 |
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
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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.