BOBIE JO WIDDERS (NPI# 1114556370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114556370 |
| Entity Type | Individual |
| Full Name | BOBIE JO WIDDERS |
| Other Name | BOBIE JO COOPER |
| Practice Address |
3201 Springhill Dr Ste 300 North Little Rock AR 72117-2909 |
| Practice Telephone | 5017534132 |
| Mailing Telephone | 8707100955 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3201 SPRINGHILL DR STE 300 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690477 | Alan Robert Storeygard | Family Medicine | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2005-06-28 |
| 1154959211 | Sarah Kabemba Tshitenge | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-04-01 |
| 1881222073 | Ashley Bruce | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-04-01 |
| 1932737244 | Holly Marie Teng | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-03-31 |
| 1346878717 | Ali Rafatnia | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-03-31 |
| 1154959559 | Rachel Anne Mevissen | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-03-31 |
| 1417585845 | Nesly Dorcely | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-03-31 |
| 1568090959 | Kaylin Cesarski | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-03-31 |
| 1366070765 | Elizabeth Carey Sullivan | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-03-31 |
| 1588292817 | David Minh Tran | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1407419690 | Whitney Birch | Student in an Organized Health Care Education/Training Program | 3505 Mccord Dr, North Little Rock, AR 72116-9355 | 2019-04-15 |
| 1548730260 | Shanan Mahal | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 200, North Little Rock, AR 72117-2910 | 2018-11-26 |
| 1598394074 | Binish Lone | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-06 |
| 1992334841 | Hafiz Amin | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-03 |
| 1114556123 | Ahmad Abdulmajid | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-02 |
| 1396374450 | Qianfang Cai | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-02 |
| 1184253189 | Zina Al-sabbagh | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-02 |
| 1285263244 | Omar Jasim | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117-2905 | 2020-04-02 |
| 1154959211 | Sarah Kabemba Tshitenge | Student in an Organized Health Care Education/Training Program | 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 | 2020-04-01 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.