ANDREA DUCHOW (NPI# 1780205740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780205740 |
| Entity Type | Individual |
| Full Name | ANDREA DUCHOW |
| Credential | DO |
| Practice Address |
4800 E Johnson Ave Jonesboro AR 72405-8413 |
| Mailing Address |
4708 Ocean Dr Jonesboro AR 72405-5563 |
| Practice Telephone | 8709361000 |
| Mailing Telephone | 9854140469 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4800 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72405-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134200 | Brock F Harris | Hospitalist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-02-17 |
| 1255950069 | Jackson Benjamin Troxel | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-11 |
| 1225657125 | Edwin Roy Mathews | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-10 |
| 1063031086 | Muaamar Baldawi | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1003435108 | Refayat Ahsen | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1770112377 | Julia Bottoni | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-06 |
| 1538797709 | Christian Paige Parnell | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-01 |
| 1013564525 | Jarryd A Dempsey | Physical Therapist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-20 |
| 1437705910 | Tiffany Gail Kauffman | Clinical Nurse Specialist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-12 |
| 1083270128 | Jiten Hitendra Gosai | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1275168213 | Blaine Carson | Optometrist | 3705 E Johnson Ave, Jonesboro, AR 72405-1858 | 2020-03-10 |
| 1669006359 | Megan Maureen Anderson | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2020-03-03 |
| 1922539915 | Whitney Taylor | Registered Nurse | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2017-03-22 |
| 1205211976 | Higginbotham Dental Group, Pllc | Dentist | 1804 Old Greensboro Rd Ste D, Jonesboro, AR 72405-2076 | 2015-07-23 |
| 1265087092 | Richardson Anesthesia Pllc | Anesthesiology | 320 County Road 794, Jonesboro, AR 72405-7087 | 2019-08-08 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1992306534 | Haley Elizabeth Ballard | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-11-02 |
| 1457967986 | Ana-liese Torres | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-09-21 |
| Find all providers in zip 72405 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922866 | Nnena Ezeabasili | Student in an Organized Health Care Education/Training Program | 9491 Rollinghills Dr, Jonesboro, GA 30238-4109 | 2020-05-01 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1629697982 | Avril Alison Parker | Student in an Organized Health Care Education/Training Program | 1301 S Madison St, Jonesboro, AR 72401-4047 | 2020-04-15 |
| 1013571702 | Mira Rohit Patel | Student in an Organized Health Care Education/Training Program | 300 Carson St Ste A, Jonesboro, AR 72401-3104 | 2019-04-28 |
| 1427611227 | Nicholas Hogan | Student in an Organized Health Care Education/Training Program | 1515 Flint St, Jonesboro, AR 72401-4911 | 2019-04-17 |
| 1336635390 | Yuen Ching Chan | Student in an Organized Health Care Education/Training Program | 4800 Reserve Blvd Apt K6, Jonesboro, AR 72401-8315 | 2018-07-02 |
| 1053843888 | Morgan Maeger | Student in an Organized Health Care Education/Training Program | 5 Willow Creek Ln, Apartment 5210, Jonesboro, AR 72404-7997 | 2017-03-30 |
| 1356632368 | Daniel Bretton Schroeder | Student in an Organized Health Care Education/Training Program | 2220 Emerald Dr, Jonesboro, GA 30236-5224 | 2011-04-25 |
| 1598387417 | Logan Bevill | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-05-13 |
| 1497376040 | Zachary Carter Lee | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-05 |
| Find all providers in JONESBORO | ||||
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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.