STANCIL RANEY MEDICINE PA (NPI# 1770555625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770555625 |
| Entity Type | Organization |
| Organization Name | STANCIL RANEY MEDICINE PA |
| Practice Address |
1475 Hogan Ln Suite #121 Conway AR 72034-8287 |
| Practice Telephone | 5013273344 |
| Practice Fax Number | 5013272998 |
| Mailing Telephone | 5013273344 |
| Mailing Fax Number | 5013272998 |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | DR. VICKI L STANCIL (PRESIDENT) |
| Authorized Official Telephone | 5013273344 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C6656 | AR | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
C6670 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
1475 HOGAN LN SUITE #121 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186273 | Herschel Dean Raney Jr. | Internal Medicine | 1475 Hogan Ln, Suite #121, Conway, AR 72034-8287 | 2006-08-02 |
| 1891702205 | Vicki Lee Stancil | Family Medicine | 1475 Hogan Ln, Suite #121, Conway, AR 72034-8287 | 2006-08-01 |
| 1598791667 | William A Pollard | Dentist | 1475 Hogan Ln, 102, Conway, AR 72034-8287 | 2006-06-23 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649417361 | Gerald Lawrence Guyer | Family Medicine | 2915 Ashley Dr, Conway, AR 72034-7336 | 2009-01-16 |
| 1356563241 | Gil Johnson | Family Medicine | 2511 A College Ave, Conway, AR 72034-6135 | 2007-05-02 |
| 1891702205 | Vicki Lee Stancil | Family Medicine | 1475 Hogan Ln, Suite #121, Conway, AR 72034-8287 | 2006-08-01 |
| 1467436725 | Jarrett Boyd Lea | Family Medicine | 437 Denison St, Conway, AR 72034-6127 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042893 | Kidneysue, LLC | Family Medicine | 216 Summit Ridge Pl, Hot Springs, AR 71901-8671 | 2020-01-21 |
| 1619470275 | Haley Walters | Family Medicine | 210 S Thompson St Ste 5, Springdale, AR 72764-4261 | 2018-03-09 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1649556150 | Joseph Edward Hughes | Family Medicine | 1009 Rossland Dr, Jonesboro, AR 72404-8471 | 2011-10-28 |
| 1104105972 | Shipley & Sills Family Practice, Pllc | Family Medicine | 4003 Massard Rd., Fort Smith, AR 72903 | 2011-08-11 |
| 1578759965 | Timothy Ewing Bainum | Family Medicine | 2673 Highway 70 E, Glenwood, AR 71943-8750 | 2007-09-19 |
| 1821172651 | Romana Rayaz | Family Medicine | 4300 W 7th St # West, Little Rock, AR 72205-5446 | 2006-10-25 |
| 1336247501 | Scott Jason Darby | Family Medicine | 4300 W 7th St # 11c, Little Rock, AR 72205-5446 | 2006-09-20 |
| 1821044470 | John W Wolverton | Family Medicine | 6924 Geyer Springs, Little Rock, AR 72209 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STANCIL RANEY MEDICINE PA.
| 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.