SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA (NPI# 1093986358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093986358 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA |
| Practice Address |
1716 Doctor Dr. Pine Bluff AR 71603-6367 |
| Mailing Address |
1716 Doctor Dr Pine Bluff AR 71603-6367 |
| Practice Telephone | 8705341188 |
| Practice Fax Number | 8705340188 |
| Mailing Telephone | 8705341188 |
| Mailing Fax Number | 8705340188 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | MOHAMMAD BILAL MALIK (PRESIDENT) |
| Authorized Official Telephone | 8705341188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
C8506 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 125074001 | 05 |
| Street Address |
1716 DOCTOR DR. |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063526614 | Abid Mohiuddin | Internal Medicine | 7200 S. Hazel, Arkansas Cancer Institute, Pine Bluff, AR 71603-7836 | 2006-08-19 |
| 1700822863 | Mohammad Bilal Malik | Internal Medicine | 4310 S Mulberry St, Pine Bluff, AR 71603-7030 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356729016 | Oasis Healthcare Corporation | Internal Medicine | 112 Sezanne Ct, Little Rock, AR 72223-5095 | 2015-05-14 |
| 1487053484 | Faith E Davies | Internal Medicine | 4301 W.markham Street, Mail Slot 816, Little Rock, AR 72205-7199 | 2014-08-15 |
| 1942516182 | Carolina D Schinke | Internal Medicine | 4301 W Markham St # 816, Little Rock, AR 72205-7101 | 2010-08-25 |
| 1548317340 | Lynsay Leighanne Brautnick | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2007-01-04 |
| 1629175922 | Manjusha Kota | Internal Medicine | 180 Medical Park Pl Ste 201, Hot Springs, AR 71901 | 2006-09-20 |
| 1871607770 | Ahmad Mazen Safar | Internal Medicine | 805 Loyola Dr, Little Rock, AR 72211-5520 | 2006-08-18 |
| 1447298195 | Frank J Panettiere | Internal Medicine | 1002 S 19th St, Rogers, AR 72758-4904 | 2006-06-03 |
| 1700846045 | David A Nixon | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-23 |
| 1689643751 | Ronald J Blachly | Internal Medicine | 4808 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| 1033180229 | Daniel S Bradford | Internal Medicine | 808 S 52nd St, Rogers, AR 72758-8602 | 2006-01-27 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA.
| 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.