DR. JOE LEE BUFORD (NPI# 1942360052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942360052 |
Entity Type | Individual |
Full Name | DR. JOE LEE BUFORD |
Credential | MD |
Practice Address |
410 W Pershing Blvd North Little Rock AR 72114-2146 |
Practice Telephone | 5017710674 |
Practice Fax Number | 5017534147 |
Mailing Telephone | 5017710674 |
Mailing Fax Number | 5017534147 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2013-12-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | C5376 | AR | Allopathic & Osteopathic Physicians |
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
C5376 | AR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | PTAN | 57813 | 01 |
Street Address |
410 W PERSHING BLVD |
City | NORTH LITTLE ROCK |
State | AR |
Zip Code | 72114-2146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770561532 | Darin Keith Wilbourn | Physical Medicine & Rehabilitation | 410 W Pershing Blvd, North Little Rock, AR 72114-2146 | 2006-01-03 |
1316244460 | Little Rock Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 410 W Pershing Blvd, North Little Rock, AR 72114-2146 | 2011-02-24 |
1215177985 | Joe Lee Buford Md Pa | Family Medicine | 410 W Pershing Blvd, North Little Rock, AR 72114-2146 | 2009-02-20 |
1760448724 | Thomas M Ward | Physical Medicine & Rehabilitation | 410 W Pershing Blvd, North Little Rock, AR 72114-2146 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
Find all providers in zip 72114 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093364820 | Center for Regenerative Medicine Pa | General Practice | 9307 Maumelle Blvd, North Little Rock, AR 72113-6609 | 2019-09-04 |
1902166218 | William Eugene Owens Jr. | General Practice | 7104 Sequoyah Lane, North Little Rock, AR 72116-4332 | 2012-05-21 |
1861406217 | James Russell Hildebrand | General Practice | 2200 Fort Roots Dr # 126, Bldg. 111, Room 24, North Little Rock, AR 72114-1709 | 2006-07-28 |
1164405890 | Thomas L Eans | General Practice | 11749 Maumelle Boulevard, North Little Rock, AR 72113-1893 | 2005-11-28 |
1043797087 | Sarah Gray-staples | General Practice | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2018-07-23 |
1467940882 | George Sebastian | General Practice | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2018-05-01 |
1437580503 | Epoch Health- North Little Rock, Pllc | General Practice | 4617 E Mccain Blvd, North Little Rock, AR 72117-2904 | 2013-11-27 |
1144283169 | Thomas L. Eans, Md | General Practice | 11749 Maumelle Boulevard, North Little Rock, AR 72113 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790382059 | Landmark Medical of Arkansas Pa | General Practice | 425 W Capitol Ave Ste 425, Little Rock, AR 72201-3424 | 2020-10-08 |
1306480231 | Command Radiology Solutions, Inc. | General Practice | 3708 Pilot Grove Loop, Ozark, AR 72949-2488 | 2019-11-04 |
1215586797 | Achor Management Inc | General Practice | 1900 Club Manor Dr Ste 101a, Maumelle, AR 72113-7443 | 2019-09-08 |
1083269690 | University of Arkansas At Monticello | General Practice | 663 University Drive, Monticello, AR 71656 | 2019-08-09 |
1912492786 | Chelsea Brown | General Practice | 6309 Highway 5 N, Bryant, AR 72022-8506 | 2018-06-25 |
1205345154 | Lakeside Walk-in Clinic Pllc | General Practice | 2230 Malvern Ave Ste E, Hot Springs, AR 71901-8000 | 2017-09-22 |
1558897595 | Epoch-nwa Pllc | General Practice | 5100 W Pauline Whitaker Pkwy, Ste. 110, Rogers, AR 72758-8335 | 2017-05-11 |
1023540655 | Aaron M Smith | General Practice | Varner Unit State Hwy 388, Gould, AR 71643 | 2017-04-02 |
1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
1003360082 | Healthmax Center LLC | General Practice | 12300 Highway 71 S, Suite A, Fort Smith, AR 72916-9133 | 2016-08-08 |
Find all providers with the same taxonomy |
City | NORTH LITTLE ROCK |
Zip Code | 72114 |
Please comment or provide details below to improve the information on DR. JOE LEE BUFORD.
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.