GREGORY MCKENZIE (NPI# 1093836066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093836066 |
| Entity Type | Individual |
| Full Name | GREGORY MCKENZIE |
| Credential | MD |
| Practice Address |
390 E Longview St Fayetteville AR 72703-4618 |
| Mailing Address |
390 E. Longview Fayetteville AR 72702 |
| Practice Telephone | 4794420144 |
| Mailing Telephone | 4794420144 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
E5271 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629040910 | Gregory Gene Mckenzie | Internal Medicine | 551 Hill Country Dr, Kerrville, TX 78028-6085 | 2006-02-02 |
| Street Address |
390 E LONGVIEW ST |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023081171 | Bradley Dilday | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-02-09 |
| 1720331796 | Northwest Arkansas Pathology Associates | Clinical Medical Laboratory | 390 E Longview St, Fayetteville, AR 72703-4618 | 2012-10-16 |
| 1356668826 | Kay Amin Cashman Dds Pllc | Dentist | 390 E Longview St, Fayetteville, AR 72703-4618 | 2010-04-23 |
| 1851593990 | Lucas Kyle Campbell | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2007-06-01 |
| 1417034984 | Kevin Drake Branch | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-11-01 |
| 1164491155 | Kay Amin Cashman | Dentist | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-03-14 |
| 1457324055 | Thomas Whiteside | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-02-13 |
| 1467425512 | Roger Fink II | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-02-09 |
| 1417920570 | Lizhen Gui | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-02-09 |
| 1003889064 | Paul R Hendrycy | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306819263 | Northwest Arkansas Pathology Associates Pa | Pathology | 390 E. Longview, Fayetteville, AR 72703-1086 | 2006-02-10 |
| 1023081171 | Bradley Dilday | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-02-09 |
| 1821259862 | Steven Cordero | Pathology | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2008-06-23 |
| 1851593990 | Lucas Kyle Campbell | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2007-06-01 |
| 1417034984 | Kevin Drake Branch | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-11-01 |
| 1073693081 | Xiao-lan Chen | Pathology | 1638 Owen Dr, Fayetteville, NC 28304 | 2006-10-16 |
| 1235150749 | Robert Morris Levy | Pathology | 1100 N College Ave, P&lms (113), Fayetteville, AR 72703-1944 | 2006-07-21 |
| 1295793594 | Fayetteville Associates In Laboratory Medicine | Pathology | 1638 Owen Dr, Fayetteville, NC 28304 | 2006-05-03 |
| 1639135932 | Ruly Yoediono | Pathology | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-04-25 |
| 1033170998 | David J. Huddleston | Pathology | 1638 Owen Dr, Fayetteville, NC 28304 | 2006-03-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.