DR. KEITH G. WOLTER


Address: 4301 W Markham St, #720, Little Rock, AR 72205-7101
Phone: 5016868711

DR. KEITH G. WOLTER (NPI# 1831346535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831346535
Entity Type Individual
Full Name DR. KEITH G. WOLTER
Credential M.D. PH.D.
Practice Address 4301 W Markham St
#720
Little Rock
AR 72205-7101
Practice Telephone 5016868711
Practice Fax Number 5016868843
Mailing Telephone 5016868711
Mailing Fax Number 5016868843
Enumeration Date 2008-08-25
Last Update Date 2014-03-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery E-8278 AR Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 4301074217 MI Student, Health Care

Office Location

Street Address 4301 W MARKHAM ST
#720
City LITTLE ROCK
State AR
Zip Code 72205-7101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811998487 Jan K Hastings Pharmacist 4301 W Markham St, #522, Little Rock, AR 72205-7101 2005-08-04
1043810971 Prashanth Reddy Damalcheruvu Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7199 2020-10-29
1114533619 Nitesh Gautam Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-09-20
1891301818 Rachel Rosenbaum Nurse Practitioner 4301 W Markham St, Little Rock, AR 72205-7101 2020-09-16
1477164861 Ashtyn Leann Knowles Dietitian, Registered 4301 W Markham St, Little Rock, AR 72205-7101 2020-08-11
1700404118 Candace Johnson Social Worker 4301 W Markham St, Little Rock, AR 72205-7101 2020-07-12
1851919245 Omar Alqaisi Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-07-11
1295364578 Julie Michelle Nessler Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-04-07
1346879079 Brian Wesley Rhea Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7199 2020-04-04
1265060388 Erin Elizabeth Hall Student in an Organized Health Care Education/Training Program 4301 W Markham St, Slot 517, Little Rock, AR 72205-7101 2020-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750706420 Robert Vogel Plastic Surgery 54 Longlea Ct, Little Rock, AR 72212-2767 2014-03-04
1114351970 Norton Allen Pope Plastic Surgery 76 Robinwood Dr, Little Rock, AR 72227-2222 2013-08-29
1790809002 Michael Andrew Devlin Plastic Surgery 10801 Executive Center Drive, Suite 303, Little Rock, AR 72211 2007-03-19
1508994393 Roger Wilbert Anderson Plastic Surgery 2200 N Rodney Parham Rd, Suite 200, Little Rock, AR 72212-4140 2007-03-01
1033161609 Gary E Talbert Plastic Surgery 9500 Kanis Road, Ste 501, Little Rock, AR 72205 2006-05-16
1205336781 Wright Plastic Surgery, Pa Plastic Surgery 10801 Executive Center Dr Ste 101, Little Rock, AR 72211-4301 2018-02-20
1326488339 Melanie Prince, Md, Pa Plastic Surgery 8201 Cantrell Rd, Ste 265, Little Rock, AR 72227-2453 2013-07-05
1518260934 Little Rock Plastic Surgery, Pa Plastic Surgery 2200 N Rodney Parham Rd, Ste 200, Little Rock, AR 72212-4140 2010-12-07
1033394457 Arkansas Plastic Surgery, P.a. Plastic Surgery 9500 Kanis Rd, Suite 502, Little Rock, AR 72205-6324 2008-01-03
1033318589 Melanie Denise Prince Plastic Surgery 8201 Cantrell Rd, Ste 265, Little Rock, AR 72227-2453 2007-07-15
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Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

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.

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