JONATHON MICHAEL MCCRARY (NPI# 1851764856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851764856 |
| Entity Type | Individual |
| Full Name | JONATHON MICHAEL MCCRARY |
| Credential | PA-C |
| Practice Address |
5201 Northshore Dr North Little Rock AR 72118-5312 |
| Mailing Address |
Po Box 55066 Little Rock AR 72215-5066 |
| Practice Telephone | 5013134271 |
| Practice Fax Number | 5013134268 |
| Mailing Telephone | 5015387647 |
| Mailing Fax Number | 5013134268 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
P-T1548 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Saint Vincent Cir Ste 502, Little Rock, AR 722055414 | 5015580200 |
| Street Address |
5201 NORTHSHORE DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72118-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466626 | Arkansas Surgical Hospital, LLC | Family Medicine | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2020-08-03 |
| 1447818554 | Brian Lee Sirak | Nurse Practitioner | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2019-06-04 |
| 1598328486 | Race Shelby | Student in an Organized Health Care Education/Training Program | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2019-04-17 |
| 1366839136 | Pamela Hughey | Nurse Practitioner | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2015-04-20 |
| 1437551363 | Erika Rene Funmaker | Nurse Practitioner | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2014-09-23 |
| 1013131275 | Ali I Raja | Neurological Surgery | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 | 2007-04-12 |
| 1144312448 | Jessica Laile Baker | Nurse Anesthetist, Certified Registered | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2006-09-28 |
| 1245260140 | Leslie H Sessions | Emergency Medicine | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2006-07-04 |
| 1255397337 | Neuroscience Associates Pa | Physical Medicine & Rehabilitation | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 | 2006-04-26 |
| 1205806692 | James Zachary Mason | Neurological Surgery | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 | 2006-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053686964 | Advanced Pathology Solutions, LLC | Pathology | 4850 Northshore Lane, North Little Rock, AR 72118 | 2012-03-12 |
| 1174818371 | Sharee L. Young | Counselor | 3000 West Scenic Drive, North Little Rock, AR 72118 | 2011-06-15 |
| 1952474454 | Michael Dan Grounds | Dentist | 4720 Camp Robinson Road, Suite B, North Little Rock, AR 72118 | 2006-11-15 |
| 1831169762 | Jennifer Stratton Do | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2006-01-24 |
| 1871018515 | Ash Urgent Care, Pa | Clinic/Center | 5201 Northshore Drive, North Little Rock, AR 72118 | 2017-08-03 |
| 1154619187 | Megan Grace Lockyer | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-07-12 |
| 1154617843 | Theodore Chang | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-06-22 |
| 1578884383 | Sarah Winter Lindley | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2010-06-15 |
| 1003073628 | Amy L Collinsworth | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2008-05-21 |
| 1770621658 | Nancy Kang Davis | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2007-02-02 |
| Find all providers in zip 72118 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650817 | Dickson Orthopedics, Pa | Physician Assistant | 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632 | 2017-03-14 |
| 1912455387 | Anthony D Long Jr. | Physician Assistant | 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 | 2016-09-14 |
| 1215233887 | Joshua Anthony Trinkle | Physician Assistant | 224 W. Erie Ave, Harrison, AR 72601 | 2011-01-31 |
| 1831391655 | Mandy Suzanne Mooneyham | Physician Assistant | 3053 N College Ave, Fayetteville, AR 72703-3417 | 2007-06-04 |
| 1487252755 | David M Street | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2020-10-09 |
| 1407460843 | Alexandra Paige Brown | Physician Assistant | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2020-09-02 |
| 1881158517 | Jordan Lane Milam | Physician Assistant | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2019-01-28 |
| 1790252286 | Allison Henry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-11-01 |
| 1649755133 | Hillary Michelle Mayberry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-10-01 |
| 1013417518 | Corey Carver | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72118 |
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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.