CALEB B BOZEMAN (NPI# 1881669513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881669513 |
| Entity Type | Individual |
| Full Name | CALEB B BOZEMAN |
| Credential | M.D. |
| Practice Address |
1300 Centerview Dr Little Rock AR 72211-4349 |
| Practice Telephone | 5012198900 |
| Practice Fax Number | 5015371875 |
| Mailing Telephone | 5012198900 |
| Mailing Fax Number | 5015371875 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | E4065 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
1300 CENTERVIEW DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881669562 | Lacy Parker Fraiser | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2006-02-17 |
| 1659844702 | Stephanie Bartlett | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2019-01-10 |
| 1023597655 | Bryan Matthew Cearley | Physician Assistant | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2018-08-14 |
| 1083129670 | Sarah Morgan | Nurse Practitioner | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2017-12-05 |
| 1205347390 | Philip Allen Childers | Physician Assistant | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2017-10-17 |
| 1285025262 | Lindsey Galloway | Nurse Practitioner | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2015-02-11 |
| 1023424413 | Samuel Raney | Nurse Practitioner | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2014-07-07 |
| 1356674238 | Arkansas Urology, Pa | Radiology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2009-09-10 |
| 1669615225 | John Taylor Moore | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2009-04-13 |
| 1568669448 | Michael A Childs | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295259406 | Bruno Lopes Cancado Machado | Urology | 4301 W Markham St Ste 540, Little Rock, AR 72205-7101 | 2017-07-29 |
| 1255412755 | Donald Edward Johnson | Urology | 4301 West Seventh St, Little Rock, AR 72205 | 2006-10-18 |
| 1891718060 | Ismael Zamilpa | Urology | 1 Childrens Way # 840, Little Rock, AR 72202-3500 | 2006-07-26 |
| 1881669562 | Lacy Parker Fraiser | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2006-02-17 |
| 1720074826 | Pat D O'donnell | Urology | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2005-09-23 |
| 1588210124 | Mahmoud Ibrahim Mahmoud Khalil | Urology | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2019-08-09 |
| 1659844702 | Stephanie Bartlett | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2019-01-10 |
| 1669615225 | John Taylor Moore | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2009-04-13 |
| 1568669448 | Michael A Childs | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2007-07-02 |
| 1740496686 | Ashay Patel | Urology | 1 Childrens Way # 840, Little Rock, AR 72202-3500 | 2007-05-15 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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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.