ANTHONY KYLE MADDOX (NPI# 1962000471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962000471 |
| Entity Type | Individual |
| Full Name | ANTHONY KYLE MADDOX |
| Credential | PA |
| Practice Address |
199 N 34th St Rogers AR 72756-0304 |
| Mailing Address |
Po Box 1784 Bentonville AR 72712-1784 |
| Practice Telephone | 4798457000 |
| Practice Fax Number | 4795255961 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
199 N 34TH ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-0304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1205434719 | Aaron Bradley Mullen | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| 1053919563 | Alexis Mikayla Jones | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707151 | Brianna Young | Physician Assistant | 903 N Raven Rd, Rogers, AR 72756-1941 | 2020-03-30 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1104209915 | Kindle Diane Simon | Physician Assistant | 1000 S. 52nd St, Rogers, AR 72758-8610 | 2015-06-30 |
| 1699154567 | Jessica Weller | Physician Assistant | 2708 S Rife Medical Ln Ste 210, Rogers, AR 72758-1456 | 2015-05-26 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1740234426 | Lynn M Youngner | Physician Assistant | 13688 Rogers Dr, Rogers, MN 55374-4916 | 2006-05-19 |
| 1205434719 | Aaron Bradley Mullen | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| 1053919563 | Alexis Mikayla Jones | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| 1093228520 | Alexa Blaire Grand | Physician Assistant | 500 S 52nd St, Rogers, AR 72758-8600 | 2017-11-06 |
| Find all providers in ROGERS | ||||
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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.