KOTA CANCER CLINIC PLLC (NPI# 1124407077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124407077 |
| Entity Type | Organization |
| Organization Name | KOTA CANCER CLINIC PLLC |
| Practice Address |
180 Medical Park Pl Suite 201 Hot Springs AR 71901-8065 |
| Practice Telephone | 5014635700 |
| Practice Fax Number | 5014635710 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | DR. MANJUSHA KOTA (PHYSICIAN) |
| Authorized Official Telephone | 5014635700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| Street Address |
180 MEDICAL PARK PL SUITE 201 |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71901-8065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578264 | Mary Edna Fithen | Nurse Practitioner | 180 Medical Park Pl, Suite 101, Hot Springs, AR 71901-8065 | 2005-06-20 |
| 1285273326 | Robyn Nicole Chreene | Nurse Practitioner | 180 Medical Park Pl, Hot Springs, AR 71901-8065 | 2020-01-06 |
| 1346693710 | Jennifer Sue Conry Jones | Clinical Nurse Specialist | 180 Medical Park Pl, Ste. 101, Hot Springs, AR 71901-8065 | 2016-07-20 |
| 1851799746 | Arkansas Hematology and Oncology Pllc | Internal Medicine | 180 Medical Park Pl, Suite 202, Hot Springs, AR 71901-8065 | 2014-12-09 |
| 1730511387 | Arkansas Orthopedic Surgery and Wellness Center | Orthopaedic Surgery | 180 Medical Park Pl, Suite 101, Hot Springs, AR 71901-8065 | 2013-08-06 |
| 1124274808 | Kalarikkal K Jayaraman | General Practice | 180 Medical Park Pl, Suite 102, Hot Springs, AR 71901-8065 | 2008-08-13 |
| 1447395660 | Cardiology Associates of Hot Springs, Pa | Nuclear Medicine | 180 Medical Park Pl, Suite 102, Hot Springs, AR 71901-8065 | 2007-02-21 |
| 1639163959 | James Kevin Rudder | Orthopaedic Surgery | 180 Medical Park Pl, Suite 101, Hot Springs, AR 71901-8065 | 2005-08-31 |
| 1497751390 | Neeraj Bharany | Legal Medicine | 180 Medical Park Pl, Ste 490, Hot Springs, AR 71901-8065 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
| 1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
| 1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
| 1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
| 1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
| 1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
| 1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
| Find all providers in zip 71901 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821018417 | Central Arkansas Hematology and Oncology Clinic, Pa | Clinic/Center | 133 Harmony Park Circle, Hot Springs, AR 71913 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568001386 | Jefferson Regional Cancer Center | Clinic/Center | 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603-6367 | 2019-12-26 |
| 1184911901 | White County Medical Center | Clinic/Center | 415 Rodgers Dr Ste A, Searcy, AR 72143-7434 | 2011-06-30 |
| 1912328428 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Clinic/Center | 4808 E Johnson Ave, Jonesboro, AR 72401-8413 | 2013-12-31 |
| 1851608665 | Joseph M Beck II Md Pa | Clinic/Center | 500 S University Ave, Suite 512, Little Rock, AR 72205-5302 | 2010-09-01 |
| City | HOT SPRINGS |
| Zip Code | 71901 |
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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.