FAWAD H WALAJAHI (NPI# 1053316067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053316067 |
| Entity Type | Individual |
| Full Name | FAWAD H WALAJAHI |
| Credential | M.D. |
| Practice Address |
1801 W 40th Ave Ste 2b Pine Bluff AR 71603-6957 |
| Mailing Address |
Po Box 1272 Pine Bluff AR 71613-1272 |
| Practice Telephone | 8705357457 |
| Practice Fax Number | 8705352522 |
| Mailing Telephone | 8705357457 |
| Mailing Fax Number | 8705352522 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | R3423 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 55444 | 01 |
| RAILROAD MEDICARE/PGBA | 050019322 | 01 | |
| AR | 103071001 | 05 |
| Street Address |
1801 W 40TH AVE STE 2B |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577662 | Anna Talley Redman | Family Medicine | 1801 W 40th Ave, Ste 6a, Pine Bluff, AR 71603-6963 | 2005-06-08 |
| 1366822058 | Nicholas Holloway | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940 | 2015-06-08 |
| 1306223078 | Clay Young | Registered Nurse | 1801 W 40th Ave, 2b, Pine Bluff, AR 71603-6940 | 2015-05-01 |
| 1346534047 | Arkansas Foot & Ankle Clinic, Pa | Podiatrist | 1801 W 40th Ave, Suite 4e, Pine Bluff, AR 71603-6940 | 2011-05-31 |
| 1477886109 | Arkansas Nephrology & Hypertension Clinic Pa | Specialist | 1801 W 40th Ave, Suite 7a, Pine Bluff, AR 71603-6940 | 2009-09-14 |
| 1114151404 | Sarahrose Schneider Webster | Surgery | 1801 W 40th Ave, Suite 4c, Pine Bluff, AR 71603-6940 | 2009-05-14 |
| 1730351941 | Jefferson Hospital Association | Clinic/Center | 1801 W 40th Ave, Suite 4b, Pine Bluff, AR 71603-6940 | 2008-03-27 |
| 1033380308 | John E Harris Md Pa | Family Medicine | 1801 W 40th Ave, Suite 5c, Pine Bluff, AR 71603-6940 | 2008-03-14 |
| 1316125040 | Oberia Lashon Byrd-hunt | Registered Nurse | 1801 W 40th Ave, Suite 2-b, Pine Bluff, AR 71603-6940 | 2008-02-05 |
| 1356525026 | Family Medicine Podiatry | Podiatrist | 1801 W 40th Ave, Suite 6b, Pine Bluff, AR 71603-6940 | 2007-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659749257 | Loetscher Anesthesia, Inc | Anesthesiology | 4800 S Hazel St Ste B, Pine Bluff, AR 71603-6860 | 2015-09-13 |
| 1205301587 | Jefferson Regional Anesthesia LLC | Anesthesiology | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2018-10-12 |
| 1285130286 | Mcfarland Anesthesia Inc | Anesthesiology | 3805 W 28th Ave, Pine Bluff, AR 71603-4774 | 2018-03-30 |
| 1477595387 | Charles J Stearns | Anesthesiology | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6900 | 2006-06-12 |
| 1023005550 | Jefferson Anesthesiology Associates | Anesthesiology | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6900 | 2005-09-30 |
| 1497750418 | Jeffrey S Bryles | Anesthesiology | 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | 2005-06-16 |
| 1174528186 | Ferdinand K Samuel | Anesthesiology | 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087092 | Richardson Anesthesia Pllc | Anesthesiology | 320 County Road 794, Jonesboro, AR 72405-7087 | 2019-08-08 |
| 1689163982 | Premier Gastroenterology Associates-anes Pllc | Anesthesiology | 10001 Lile Dr Ste 200, Little Rock, AR 72205-6217 | 2018-05-02 |
| 1255799656 | Christopher K Mocek Md Pa | Anesthesiology | 9101 Kanis Rd Ste 400, Little Rock, AR 72205-6450 | 2016-02-01 |
| 1528453644 | Trevor Bert Wright | Anesthesiology | 4301 West Markham St., Slot 515, Little Rock, AR 72205-7199 | 2015-04-06 |
| 1184981847 | Anthony K Woodall | Anesthesiology | 1431 Starfield Rd, North Little Rock, AR 72116-9252 | 2012-04-19 |
| 1740552975 | Dallie F Ricca | Anesthesiology | 6 River Oaks Trce, Searcy, AR 72143-4504 | 2012-02-03 |
| 1497053433 | Kristin K Heitman | Anesthesiology | 2425 Prince St Ste 4, Conway, AR 72034-3701 | 2011-02-28 |
| 1215246772 | Carol N Eason | Anesthesiology | 1707 Scott Salem Rd, Benton, AR 72019-9530 | 2010-10-01 |
| 1588971048 | Dogwood Anesthesia, P.a. | Anesthesiology | 4305 Legacy Dr, Springdale, AR 72762-7474 | 2010-09-06 |
| 1568780419 | Jill Stephanie Cooley | Anesthesiology | 3 Diana Dr, Little Rock, AR 72205-4928 | 2010-05-16 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.