DR. DEANNA N. RUDDELL (NPI# 1083606156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083606156 |
| Entity Type | Individual |
| Full Name | DR. DEANNA N. RUDDELL |
| Credential | MD |
| Practice Address |
16101 Cantrell Rd Ste 104 Little Rock AR 72223-4578 |
| Practice Telephone | 5014250322 |
| Mailing Telephone | 5014250322 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
N8430 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 129401001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11601 Cantrell Rd, Little Rock, AR 72223 | 5014250322 |
| Street Address |
16101 CANTRELL RD STE 104 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72223-4578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346753332 | Pinnacle Allergy Clinic, Pllc | Clinic/Center | 16101 Cantrell Rd Ste 104, Little Rock, AR 72223-4578 | 2017-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| Find all providers in zip 72223 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834550 | Advanced Allergy and Asthma Physicians Pllc | Allergy & Immunology | 500 S University Ave Ste 215, Little Rock, AR 72205-5304 | 2018-06-12 |
| 1871717033 | Teresa Renee Jeffers | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-04-12 |
| 1619947470 | Joseph William Matthews | Allergy & Immunology | 11614 Huron Ln, Suite A, Little Rock, AR 72211-1834 | 2006-01-25 |
| 1265727259 | Four Seasons Allergy and Asthma Clinic Pa | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2011-06-17 |
| 1689883019 | Joseph W Matthews, Md, Pa | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548530694 | Hedberg Allergy and Asthma Center, Pa | Allergy & Immunology | 1585 E Rain Forest Rd, Fayettteville, AR 72703 | 2012-01-06 |
| 1356317440 | South Ark Ear Nose &throat Clinic P A | Allergy & Immunology | 1722 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-02-27 |
| 1255653192 | Allergy Clinic,p.a. | Allergy & Immunology | 311 E Monroe Ave, Jonesboro, AR 72401-2923 | 2010-02-19 |
| 1790812246 | Adesua Okupa Wejinya | Allergy & Immunology | 700 S 52nd St, Rogers, AR 72758-8605 | 2007-02-28 |
| 1427196807 | William J Bulkley M D P A | Allergy & Immunology | 1000 W Kingshighway, Ste # 3, Paragould, AR 72450-4141 | 2007-02-01 |
| City | LITTLE ROCK |
| Zip Code | 72223 |
Please comment or provide details below to improve the information on DR. DEANNA N. RUDDELL.
| 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.