ENRIQUE CUBILLO (NPI# 1033125901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033125901 |
| Entity Type | Individual |
| Full Name | ENRIQUE CUBILLO |
| Credential | MD |
| Practice Address |
3205 W Main St Russellville AR 72801-2301 |
| Mailing Address |
3205 West Main P.o. Box 9178 Rusellville AR 72811 |
| Practice Telephone | 4799688279 |
| Practice Fax Number | 4799684331 |
| Mailing Telephone | 4799688279 |
| Mailing Fax Number | 4799684331 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
E2622 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS PROVIDER NUMBER | BCBS | 01 |
| Street Address |
3205 W MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316354665 | Rena Taylor | Clinic/Center | 3205 W Main St, Russellville, AR 72801-2301 | 2014-07-18 |
| 1073929014 | Rhonda Williams | Counselor | 3205 W Main St, Russellville, AR 72801-2301 | 2014-07-10 |
| 1285040386 | Prescriptive Nutrition, LLC | Nutritionist | 3205 W Main St, Russellville, AR 72801-2301 | 2014-07-09 |
| 1457766180 | Alexander Chandler | Counselor | 3205 W Main St, Russellville, AR 72801-2301 | 2014-06-20 |
| 1699180323 | Layton Vaughn | Counselor | 3205 W Main St, Russellville, AR 72801-2301 | 2014-06-20 |
| 1871908509 | Corbin Frost | Counselor | 3205 W Main St, Russellville, AR 72801-2301 | 2014-06-20 |
| 1942613302 | Gina Anne Kersh | Nutritionist | 3205 W Main St, Russellville, AR 72801-2301 | 2014-06-03 |
| 1851717870 | Morgan Earp | Counselor | 3205 W Main St, Russellville, AR 72801-2301 | 2014-03-14 |
| 1144661687 | Alisha Gail Delatorre | Counselor | 3205 W Main St, Russellville, AR 72801-2301 | 2013-07-12 |
| 1144667007 | Beth N Onasch | Counselor | 3205 W Main St, Russellville, AR 72801-2301 | 2013-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467743062 | Medical Billing of Arkansas, LLC | Radiology | 209 S Portland Ave, Russellville, AR 72801-2339 | 2011-04-29 |
| 1760547293 | Cheepuloti Hanumantha Reddy | Radiology | 189 Whipoorwill Dr, Russellville, KY 42276-9777 | 2006-12-26 |
| 1740216449 | Merwyn Murdock Crandell | Radiology | 5682 Highway 73, Russellville, AL 35653-6387 | 2006-06-24 |
| 1699744326 | Radiologists of Russellville Pa | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-03-15 |
| 1568799344 | Russellville Diagnostics Center, LLC | Radiology | 13150 Highway 43, Suite 11, Russellville, AL 35653-4558 | 2009-11-16 |
| 1295906121 | Russellville Diagnostic Imaging | Radiology | 1625 Nashville St, Russellville, KY 42276-8853 | 2008-03-19 |
| 1992917728 | Radiology Consultants of Northwest Arkansas | Radiology | 3205 W Main St, Russellville, AR 72801-2301 | 2007-05-04 |
| 1477583516 | Donna Charlene Crandell | Radiology | 5682 Highway 73, Russellville, AL 35653-6387 | 2006-07-04 |
| 1528001245 | James Cherry | Radiology | 3205 West Main, Russellville, AR 72801 | 2006-06-13 |
| 1184667909 | Ashley L Burnham | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-06-13 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on ENRIQUE CUBILLO.
| 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.