DR. JESSE E CLANTON


Address: 2302 College Ave, Conway, AR 72034-6297
Phone: 5015135793

DR. JESSE E CLANTON (NPI# 1033106505) 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) 1033106505
Entity Type Individual
Full Name DR. JESSE E CLANTON
Credential M.D.
Practice Address 2302 College Ave
Conway
AR 72034-6297
Practice Telephone 5015135793
Practice Fax Number 5015135417
Mailing Telephone 5015135793
Mailing Fax Number 5015135417
Enumeration Date 2005-09-30
Last Update Date 2010-07-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine C5274 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 104705001 05

Other Providers JESSE CLANTON

NPI Name Taxonomy Address Enumeration
1023246295 Jesse Clanton Surgery 2 Medical Park Rd Ste 300, Columbia, SC 29203-6839 2009-06-26

Office Location

Street Address 2302 COLLEGE AVE
City CONWAY
State AR
Zip Code 72034-6297

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912529090 Clayton Preston Student in an Organized Health Care Education/Training Program 2302 College Ave, Conway, AR 72034-6297 2020-05-12
1922629666 Dylan Joshua Cruz Student in an Organized Health Care Education/Training Program 2302 College Ave, Conway, AR 72034-6297 2020-05-05
1497376453 Ross Lenzen Student in an Organized Health Care Education/Training Program 2302 College Ave, Conway, AR 72034-6297 2020-04-30
1639790983 Olufadejimi Atanda Kareem Student in an Organized Health Care Education/Training Program 2302 College Ave, Conway, AR 72034-6297 2020-04-28
1346877933 Peggy Ann Schultz Registered Nurse 2302 College Ave, Conway, AR 72034-6297 2020-03-24
1578198594 Anni Julliett Fuenmayor Nutritionist 2302 College Ave, Conway, AR 72034-6297 2020-03-10
1871139394 Sarah C Atkins Nurse Practitioner 2302 College Ave, Conway, AR 72034-6297 2019-11-19
1538714761 Brooke Alexander Miller Specialist/Technologist 2302 College Ave, Conway, AR 72034-6297 2019-08-05
1083279533 Faulkner Emergency Group, Pllc Physician Assistant 2302 College Ave, Conway, AR 72034-6297 2019-05-09
1851861892 Haley Katherine Ruffin Dietitian, Registered 2302 College Ave, Conway, AR 72034-6297 2018-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013563758 Shelby M Perez Case Manager/Care Coordinator 3240 Stermer Rd, Conway, AR 72034 2019-08-16
1467932772 Faith J Parfait Licensed Practical Nurse 1352 Watkins St, Conway, AR 72034 2018-08-16
1043790611 David Adam Steinfeld Nurse Practitioner 855 S German Ln Ste 1, Conway, AR 72034 2018-08-14
1245728484 Conway Behavioral Health, LLC Psychiatry & Neurology 2255 Sturgis Rd, Conway, AR 72034 2018-04-24
1972007292 Eldercare of Arkansas IIi, Inc. Assisted Living Facility 1306 S. Donaghey, Conway, AR 72034 2018-03-21
1528561404 Kouhei Kobayashi Specialist/Technologist 2201 Moix Blvd., Apt. 908, Conway, AR 72034 2018-03-16
1780191015 Sydnie Thessing Nurse Practitioner 605 Dave Ward Drive #105, Conway, AR 72034 2018-01-09
1508371865 Ebony Latreace Charleston Case Manager/Care Coordinator 3240 Stermer Road, Conway, AR 72034 2017-12-08
1689190647 Denise Annette Aikman Dentist 1210 Hogan Lane, Suite 200, Conway, AR 72034 2017-08-21
1134669138 Hortons Orthotic Lab, Inc. Prosthetic/Orthotic Supplier 635 Dave Ward, Suite 103, Conway, AR 72034 2017-02-24
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487844510 Conway Hospital Emergency Professional Services Emergency Medicine 300 Singleton Ridge Road, Conway, SC 29526-9142 2007-07-25
1043265655 William C Pittman Emergency Medicine 1125 Skyline Dr, Conway, AR 72032-2857 2006-05-23
1861478232 College Park Family Clinic Pa Emergency Medicine 2511-a College Ave, Conway, AR 72034 2005-12-19
1184625105 Robert Thomas Vanhook Emergency Medicine 3900 Dave Ward Dr Ste 1900, Pmb # 181, Conway, AR 72034-5617 2005-08-02
1770007700 Laura J Dill Emergency Medicine 2302 College Ave, Conway, AR 72034 2017-08-01
1750781654 Medexpress Urgent Care Arkansas, P.a. Emergency Medicine 805 Oak Street, Conway, AR 72032-4408 2014-08-27
1760820583 Megan Taylor Emergency Medicine 1555 Exchange Ave, Conway, AR 72032-7824 2013-06-14
1285077727 Jordan Hunter White Emergency Medicine 1555 Exchange Ave, Conway, AR 72032-7824 2013-04-15
1912340860 Edward Thomas Grove Emergency Medicine 300 Singleton Ridge Rd, Conway, SC 29526-9142 2013-04-10
1689913436 Doctors Care Sc, Pa Emergency Medicine 1400 Main St, Conway, SC 29526-3567 2013-02-13
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 72034

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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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