LANCE KENNEDY HARRIS (NPI# 1083163638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083163638 |
| Entity Type | Individual |
| Full Name | LANCE KENNEDY HARRIS |
| Credential | PA-C |
| Practice Address |
1555 Exchange Ave Conway AR 72032-7824 |
| Mailing Address |
Po Box 83 Mabelvale AR 72103-0083 |
| Practice Telephone | 5015852400 |
| Mailing Telephone | 5734504271 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-679 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663689 | Lance Harris | Hearing Instrument Specialist | 392 Red Cedar St, Menomonie, WI 54751-2338 | 2019-01-28 |
| 1023049343 | Lance A Harris | Clinical Neuropsychologist | 3001 E J St, Tacoma, WA 98404-3220 | 2006-07-05 |
| 1952963365 | Lance Richard Harris | Dentist | 2050 Barb St, Silverdale, WA 98315-2050 | 2019-07-05 |
| 1376082040 | Lance William Harris | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2017-02-15 |
| 1700188331 | Lance Foster Harris | Chiropractor | 14995 Se 82nd Dr, Clackamas, OR 97015-7612 | 2010-12-02 |
| Street Address |
1555 EXCHANGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-7824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052931 | Thomas Gene Alfano | Anesthesiology | 1555 Exchange Ave, Conway, AR 72032-7824 | 2005-11-30 |
| 1154816098 | Matthew Brister | Nurse Practitioner | 1555 Exchange Ave, Conway, AR 72032-7824 | 2018-06-23 |
| 1255851515 | Brett Alan Morris | Nurse Practitioner | 1555 Exchange Ave, Conway, AR 72032-7824 | 2017-06-27 |
| 1720508195 | Sheza Tauheed Khawaja | Internal Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2017-06-26 |
| 1275084188 | Conway Community Services | Radiology | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-10-17 |
| 1669922308 | Teryn Denae Laseter | Personal Emergency Response Attendant | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-10-05 |
| 1699221853 | Lachan Elizabeth Siebenmorgen | Physician Assistant | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-08-28 |
| 1790147106 | Conway Community Services | Rehabilitation Unit | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-03-24 |
| 1609258938 | Hira Cheema | Internal Medicine | 1555 Exchange Ave, Conway, AR 72032 | 2015-06-23 |
| 1760820583 | Megan Taylor | Emergency Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2013-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209086 | Chase Gunter | Physician Assistant | 817 Wilcot Branch Ct, Conway, SC 29526-1205 | 2019-08-09 |
| 1427554401 | Rebekah Campbell | Physician Assistant | 5410 Whistling Straits, Conway, AR 72034-8765 | 2018-03-30 |
| 1437584356 | Russell Matkin | Physician Assistant | 3430 Irby Dr Apt 509, Apt 509, Conway, AR 72034-7656 | 2013-09-10 |
| 1265635981 | Leanne Stegall Griffin | Physician Assistant | 1014 Harkrider St Ste B, Conway, AR 72032-4471 | 2007-06-08 |
| 1710038864 | April Hall Martin | Physician Assistant | 251 University Boulevard, Conway, SC 29526 | 2007-01-16 |
| 1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
| 1457327918 | Debra K Joyner | Physician Assistant | 394 Singleton Ridge Rd, Conway, SC 29526-9150 | 2006-02-24 |
| 1477540045 | Darryl K Valentine | Physician Assistant | 235 Singleton Ridge Rd Ste 103, Conway, SC 29526-9136 | 2005-09-29 |
| 1043845431 | Lakyn Michelle Phillips | Physician Assistant | 812 Oak St, Conway, AR 72032-4408 | 2020-03-06 |
| 1720620818 | Emily L Mckinney | Physician Assistant | 550 Club Ln, Conway, AR 72034-3681 | 2019-10-10 |
| Find all providers in CONWAY | ||||
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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.