SHELBY MEDICAL, INC. (NPI# 1699319558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699319558 |
| Entity Type | Organization |
| Organization Name | SHELBY MEDICAL, INC. |
| Practice Address |
11 Sherwood Ln Clarksville AR 72830-4500 |
| Mailing Address |
102 N 17th St Ozark AR 72949-2349 |
| Practice Telephone | 4792132546 |
| Mailing Telephone | 4792132546 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | GARRETT KUNA (CEO) |
| Authorized Official Telephone | 4792132546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
11 SHERWOOD LN |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813793 | Medcom Imaging, Inc. | Radiology | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807601 | The Point Surgical Pllc | General Practice | 1636 Madison St Ste C, Clarksville, TN 37043-4934 | 2020-06-26 |
| 1639508666 | Afc Physicians of Tennessee, PC | General Practice | 1763 Madison Street Commons, Clarksville, TN 37043 | 2013-11-12 |
| 1518090794 | Barbara Mikicki | General Practice | 560 Fire Station Rd, Clarksville, TN 37043-4016 | 2007-03-14 |
| 1366594525 | Brian Christopher Gullett | General Practice | 343 Adamik Rd, Clarksville, PA 15322-7395 | 2007-01-17 |
| 1598395220 | Clarksville Physical Medicine Pllc | General Practice | 1636 Madison St, Clarksville, TN 37043-2977 | 2020-01-22 |
| 1255875258 | Skintegrity Pllc | General Practice | 1820 Haynes St, Clarksville, TN 37043-4547 | 2016-12-09 |
| 1114317260 | Nebben Physical Medicine, LLC | General Practice | 282 Clear Sky Ct, Clarksville, TN 37043-5653 | 2015-01-28 |
| 1548535842 | Dynamic Healing LLC | General Practice | 1820 Haynes St, Clarksville, TN 37043-4547 | 2012-03-20 |
| 1669683116 | Dr.'s Hudson & Hudson | General Practice | 1856 Memorial Dr, Clarksville, TN 37043-4603 | 2007-05-25 |
| 1508818311 | Ramon Jongo Aquino | General Practice | 351 Dover Rd, Clarksville, TN 37042-4144 | 2006-05-17 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on SHELBY MEDICAL, INC..
| 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.