DR. DAVID A CHURCHILL


Address: 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007
Phone: 4795714338

DR. DAVID A CHURCHILL (NPI# 1023072808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023072808
Entity Type Individual
Full Name DR. DAVID A CHURCHILL
Practice Address 3211 N Northhills Blvd
Suite 110
Fayetteville
AR 72703-4007
Practice Telephone 4795714338
Practice Fax Number 4795714015
Mailing Telephone 4795714338
Mailing Fax Number 4795714015
Enumeration Date 2006-04-17
Last Update Date 2012-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
C6809 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR QUALCHOICE 122050000 01
AR CHAMPUS A023 01
MO 204813000 05
AR STATE LICENSE C6809 01
OK 100077630A 05
AR DEA AC3145845 01
AR 111127001 05
AR AETNA 4567131 01
AR UNITED HEALTHCARE 1670494 01

Other Providers DAVID CHURCHILL

NPI Name Taxonomy Address Enumeration
1588113849 David Diederich Churchill Marriage & Family Therapist 980 S Tower Rd, Fergus Falls, MN 56537-5505 2016-09-28
1417259995 David Churchill Behavioral Analyst 2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 2010-12-03
1144209503 David A Churchill Internal Medicine 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057-9248 2006-01-13

Office Location

Street Address 3211 N NORTHHILLS BLVD
SUITE 110
City FAYETTEVILLE
State AR
Zip Code 72703-4007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649885252 Kaitlynn Nichole Britton Nurse Practitioner 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 2020-09-10
1861025173 Laura Droke Nurse Practitioner 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 2020-02-14
1093281917 Justin Partin Nurse Practitioner 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 2018-10-18
1104361864 Dawn Michelle Smedley Clinical Nurse Specialist 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 2017-01-04
1891043071 Ellen Jean Teal Nurse Practitioner 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2012-08-20
1447512579 Courtney Mae Burns Clinical Nurse Specialist 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 2012-06-14
1174890065 Taylor Dee Marshall Nurse Practitioner 3211 N Northhills Blvd, #110, Fayetteville, AR 72703-4007 2011-11-21
1578862785 Nicole Van Comstock Nurse Practitioner 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2011-03-28
1417254780 Brandi Marie Barnes Nurse Practitioner 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 2011-02-22
1679890966 Washington Regional Medical System Internal Medicine 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2010-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174965826 Valley Cardiology, Pa Internal Medicine 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 2013-07-23
1659560647 Oduwole Organization Inc Internal Medicine 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 2007-10-16
1982648663 Northwest Arkansas Heart & Vascular Center Internal Medicine 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 2006-06-15
1912984568 Arun Prahash Internal Medicine 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 2005-12-26
1679890966 Washington Regional Medical System Internal Medicine 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2010-04-26
1386827574 Cumberland Cardiology, P.a. Internal Medicine 909 S Mcpherson Church Rd, Fayetteville, NC 28303-5350 2007-12-11
1831386556 Zubair Ahmed Internal Medicine 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2007-09-26
1689769507 Cardiac Disease Specialists, PC Internal Medicine 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-4548 2006-10-04
1538254487 Cardiac Disease Specialists, PC Internal Medicine 101 Yorktown Dr, Ste 209, Fayetteville, GA 30214-1568 2006-10-04
1841216595 Geetha Ramaswamy Internal Medicine 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2006-07-14
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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