CHARLES EDWARD PILLOW (NPI# 1992758387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992758387 |
| Entity Type | Individual |
| Full Name | CHARLES EDWARD PILLOW |
| Credential | PA-C |
| Practice Address |
710-a Dewitt Henry Drive Beebe AR 72012 |
| Mailing Address |
Po Box 1028 Beebe AR 72012-1028 |
| Practice Telephone | 5018825433 |
| Practice Fax Number | 5018822512 |
| Mailing Telephone | 5018825433 |
| Mailing Fax Number | 5018822512 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA155 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DEA | MP0778780 | 01 |
| Street Address |
710-A DEWITT HENRY DRIVE |
| City | BEEBE |
| State | AR |
| Zip Code | 72012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831121037 | Dewey R Mcafee Do Pa | Family Medicine | 710-a Dewitt Henry Drive, Beebe, AR 72012 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234722 | Danielle Shock | Speech-Language Pathologist | Wilbur Mills Coop, 114 N Main, Beebe, AR 72012 | 2020-01-08 |
| 1356982946 | Rachel Lynn Martin | Technician | 120 Friendship Ln, Beebe, AR 72012 | 2019-10-04 |
| 1710935762 | Dewey Mcafee | Family Medicine | 710 A Dewitt Henry Drive, Beebe, AR 72012 | 2006-05-04 |
| 1295708428 | Johnny Ross Paine | Family Medicine | 710 A Dewitt-henry Drive, Beebe, AR 72012 | 2006-02-08 |
| 1710973086 | Beebe Retirement Center, Inc. | Skilled Nursing Facility | 709 Mcafee Dr, Beebe, AR 72012 | 2005-09-22 |
| 1477051654 | Life Within Counseling Group, LLC | Counselor | 905 Mcafee Medical Circle, Beebe, AR 72012 | 2018-01-23 |
| 1588109698 | Riley Benjumen Pate | Counselor | 905 Mcafee Medical Circle, Beebe, AR 72012 | 2016-12-28 |
| 1205185204 | Lauren Ashley Farris | Occupational Therapist | 27 Hwy 64 W, Beebe, AR 72012 | 2012-09-05 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| 1881230340 | Candace Bills | Pharmacist | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-11-20 |
| Find all providers in zip 72012 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
| 1639446271 | Mendy Cooper Mcclelland | Physician Assistant | 47 Highway 64 W, Beebe, AR 72012-9500 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
| 1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
| 1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
| 1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
| 1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
| 1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
| Find all providers with the same taxonomy | ||||
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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.