SOUTH ARKANSAS NEPHROLOGY AND HYPERTENSION CLINIC (NPI# 1669466777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669466777 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS NEPHROLOGY AND HYPERTENSION CLINIC |
| Practice Address |
2302 W 28th Ave Suite A Pine Bluff AR 71603-5050 |
| Practice Telephone | 8705361400 |
| Practice Fax Number | 8705365196 |
| Mailing Telephone | 8705361400 |
| Mailing Fax Number | 8705365196 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KHALID MAHMOOD (PRESIDENT) |
| Authorized Official Telephone | 8705361400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
E3969 | AR | Allopathic & Osteopathic Physicians |
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
E0300 | AR | Allopathic & Osteopathic Physicians |
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
E4018 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
2302 W 28TH AVE SUITE A |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467501452 | Physical Therapy Plus Inc | Physical Therapist | 2302 W 28th Ave, Ste B, Pine Bluff, AR 71603-5050 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1689789984 | James Arthur Campbell Jr. | Internal Medicine | 1706 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-08-20 |
| 1144335365 | James A. Campbell Md & Associates PC | Internal Medicine | 1706 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-08-20 |
| 1194719203 | Muhammad Ahmer Kashif | Internal Medicine | 1801 W 40th Ave, Suite 7a, Pine Bluff, AR 71603-6940 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075121 | Ronald Hughes | Internal Medicine | 4919 Stonewall Rd, Little Rock, AR 72207-4735 | 2016-03-17 |
| 1578806477 | Washington Regional Medical System | Internal Medicine | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6314 | 2013-03-29 |
| 1194909325 | Umbar Ghaffar | Internal Medicine | 813 Founders Park Drive, Suite 203, Springdale, AR 72762-6314 | 2007-12-24 |
| 1588845259 | Nephrology Associates, PC | Internal Medicine | 1409 E Moultrie Dr, Blytheville, AR 72315-6855 | 2007-11-21 |
| 1255543278 | Prajwal Chevireddy | Internal Medicine | 9601 Baptist Health Dr Ste 350, Little Rock, AR 72205-6356 | 2007-05-03 |
| 1538383799 | Adam Woodruff | Internal Medicine | 4802 E. Johnson Ave, Jonesboro, AR 72401 | 2007-04-12 |
| 1376665646 | Drew Courtney Heiple | Internal Medicine | 115 Wrights St Ste C, Hot Springs National Park, AR 71913-6240 | 2007-04-06 |
| 1174608905 | Daniel P Chock | Internal Medicine | 503 S College St, Mountain Home, AR 72653 | 2006-10-27 |
| 1942308101 | Gregory P. Mock | Internal Medicine | 403 S Poplar St Ste D, Searcy, AR 72143-6000 | 2006-09-20 |
| 1932202819 | Muhammad G Alam | Internal Medicine | 500 S University Ave Ste 508, Little Rock, AR 72205-5306 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on SOUTH ARKANSAS NEPHROLOGY AND HYPERTENSION CLINIC.
| 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.