MR. JAMES WILLIAM TAKACH (NPI# 1831593896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831593896 |
| Entity Type | Individual |
| Full Name | MR. JAMES WILLIAM TAKACH |
| Credential | MD |
| Practice Address |
14519 Wimbledon Loop Little Rock AR 72210 |
| Practice Telephone | 5017727339 |
| Mailing Telephone | 5017727339 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-5085 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 45153 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
14519 WIMBLEDON LOOP |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
| 1952956864 | Hanrietta Evans | Behavior Technician | Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 | 2019-08-07 |
| 1821597287 | Deanna Smith | Counselor | 12320 I-30 Frontage Road, Little Rock, AR 72210 | 2018-02-12 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1811319734 | Ben Malone | Case Manager/Care Coordinator | 20400 Col Glenn Road, Little Rock, AR 72210 | 2014-01-12 |
| 1487924296 | Tara Brown | Case Manager/Care Coordinator | 20302 Colonel Glenn Rd., Little Rock, AR 72210 | 2012-01-10 |
| 1972889061 | D. Rachelle Rial | Case Manager/Care Coordinator | 20400 Col Glenn Rd., Little Rock, AR 72210 | 2011-11-02 |
| 1669625653 | Gabrielle Welch | Case Manager/Care Coordinator | 3214 Winchester Drive Benton, Ar 72015, Little Rock, AR 72210 | 2008-11-04 |
| Find all providers in zip 72210 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1831709997 | Wound Integrity Arkansas Pa | Family Medicine | 10000 N Rodney Parham Rd, Little Rock, AR 72227-5548 | 2020-08-04 |
| 1235762816 | Cynthia Johnson | Family Medicine | 14201 Kanis Rd Apt 418, Little Rock, AR 72223-4952 | 2020-02-21 |
| 1801246129 | John Freeland Jayroe | Family Medicine | 701 N University Ave Ste 100, Little Rock, AR 72205-2936 | 2016-06-17 |
| 1992154462 | Arkansas Health Group | Family Medicine | 401 W Capitol Ave Ste 101b, Little Rock, AR 72201-3421 | 2016-06-06 |
| 1669867099 | John Allen Cockerell | Family Medicine | 5423 L St, Little Rock, AR 72205-1726 | 2015-04-02 |
| 1790198133 | Muhammad Yusuf | Family Medicine | 4216 Bowman Rd Apt D6, Little Rock, AR 72210-2383 | 2014-06-03 |
| 1598184103 | Stephen A Humbard Md Pa | Family Medicine | 28 Rahling Cir Ste 2, Little Rock, AR 72223-9187 | 2014-04-10 |
| 1215360144 | George Franklin Holitik | Family Medicine | 4617 Stonewall Rd, Little Rock, AR 72207-2053 | 2013-08-14 |
| 1740626480 | Shawn Cones Md Pllc Pa | Family Medicine | 3401 Atwood Rd Ste B, Little Rock, AR 72206-6078 | 2013-05-21 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72210 |
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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.