RUSSELLVILLE WOMEN'S CLINIC (NPI# 1093774671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093774671 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE WOMEN'S CLINIC |
| Practice Address |
200 N Quanah Ave Russellville AR 72801-2762 |
| Practice Telephone | 4799681011 |
| Mailing Telephone | 4799681011 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOE CLOUD (CO-OWNER) |
| Authorized Official Telephone | 4799681011 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARK BLUECROSS | 57692 | 01 |
| Street Address |
200 N QUANAH AVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973306 | Ezechiel R. Nehus | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-02-24 |
| 1114453743 | Palmer Audiology, Pllc | Hearing Aid Equipment | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2017-05-02 |
| 1316106727 | Pultro & Palmer, P. A. | Audiologist-Hearing Aid Fitter | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2008-06-02 |
| 1831214972 | Charles Palmer | Audiologist | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2007-03-20 |
| 1730149766 | Donald Dunn | Obstetrics & Gynecology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-03-24 |
| 1013985969 | Stephen M. Killingsworth | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-03-08 |
| 1760459952 | Stephen M. Killingsworth, Md, Pa | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-03-07 |
| 1871569269 | Ezechiel R. Nehus, Md, Pa | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-02-24 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477500668 | Bluegrass Womens Health, Pllc | Obstetrics & Gynecology | 1621 Nashville St, Suite 101, Russellville, KY 42276-8871 | 2006-05-31 |
| 1881675965 | Daphne L Jones | Obstetrics & Gynecology | 523 Gandy St Ne Ste F, Russellville, AL 35653-1961 | 2005-11-07 |
| 1942439377 | Suzanna Chatterjee | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2009-07-07 |
| 1588807135 | Cristina M Clark | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2009-04-13 |
| 1649442369 | Russellville Physician Practices LLC | Obstetrics & Gynecology | 523 Gandy St Ne, Suite F, Russellville, AL 35653-1961 | 2008-04-02 |
| 1376734640 | A Woman's Place | Obstetrics & Gynecology | 1623 Nashville St, Suite 202, Russellville, KY 42276-8889 | 2007-08-05 |
| 1720109796 | David Gregory Nelson | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2007-04-03 |
| 1740383983 | Azalea Ob/gyn, PC | Obstetrics & Gynecology | 523 Gandy St Ne, Suite F, Russellville, AL 35653-1961 | 2006-09-06 |
| 1245263631 | Logan Memorial Hospital | Obstetrics & Gynecology | 1623 Nashville St, Suite 105, Russellville, KY 42276-8889 | 2006-07-08 |
| 1871559955 | Michael Wayne Escue | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2006-04-26 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on RUSSELLVILLE WOMEN'S CLINIC.
| 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.