MR. GERALD DWAYNE WEBB (NPI# 1083223010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083223010 |
| Entity Type | Individual |
| Full Name | MR. GERALD DWAYNE WEBB |
| Credential | LAC |
| Practice Address |
1305 E Main St Russellville AR 72801-5322 |
| Practice Telephone | 5018894880 |
| Practice Fax Number | 4797779928 |
| Mailing Telephone | 5018894880 |
| Mailing Fax Number | 4797779928 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A2007102 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538183421 | Gerald Matthew Webb | General Practice | 117 Nw 15th St, Apartment #14, Oklahoma City, OK 73103-4630 | 2006-07-26 |
| Street Address |
1305 E MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184041451 | Jessica May | Case Manager/Care Coordinator | 1305 E Main St, Russellville, AR 72801-5322 | 2014-03-25 |
| 1194088229 | Hollie Clark | Case Manager/Care Coordinator | 1305 E Main St, Russellville, AR 72801-5322 | 2012-06-22 |
| 1548405699 | Perspectives Behavioral Health Management, LLC | Psychologist | 1305 E Main St, Russellville, AR 72801-5322 | 2008-12-03 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1932589520 | Valerie Couture | Counselor | 144 Homer Roach Ln, Russellville, AR 72802-8356 | 2015-06-09 |
| 1851704159 | Amanda Roberts | Counselor | 110 S. Commerce Ave, Russellville, AR 72801-5939 | 2014-06-04 |
| 1699199398 | Sherry Tatman | Counselor | 814 W B St, Russellville, AR 72801-3610 | 2014-02-15 |
| 1669741211 | Whitney Emerson | Counselor | 1200 S Elmira Ave, Russellville, AR 72802-9646 | 2011-12-27 |
| 1114551868 | Harold Wayne Taylor Jr. | Counselor | 814 W B St, Russellville, AR 72801-3610 | 2020-03-02 |
| 1851871115 | Bobbie Campbell | Counselor | 1200 S Elmira Ave, Russellville, AR 72802-9646 | 2018-08-16 |
| 1376993410 | Beth Morris | Counselor | 1110 W B St, Russellville, AR 72801-3506 | 2016-06-20 |
| 1861872277 | Jeffrey Meade | Counselor | 237 E 6th St, Russellville, KY 42276-1917 | 2015-06-02 |
| 1922405570 | Professional Christian Counseling Inc | Counselor | 814 W B St, Russellville, AR 72801-3610 | 2014-11-25 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on MR. GERALD DWAYNE WEBB.
| 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.