KASEY JOE NIX (NPI# 1144630955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144630955 |
| Entity Type | Individual |
| Full Name | KASEY JOE NIX |
| Credential | M.D. |
| Practice Address |
2302 College Ave Conway AR 72034-6297 |
| Practice Telephone | 5013293831 |
| Mailing Telephone | 5013293831 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-10690 | AR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 612 S 12th St, Fort Smith, AR 729014702 | 8703700320 |
| Street Address |
2302 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106505 | Jesse E Clanton | Emergency Medicine | 2302 College Ave, Conway, AR 72034-6297 | 2005-09-30 |
| 1912529090 | Clayton Preston | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-05-12 |
| 1922629666 | Dylan Joshua Cruz | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-05-05 |
| 1497376453 | Ross Lenzen | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-04-30 |
| 1639790983 | Olufadejimi Atanda Kareem | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-04-28 |
| 1346877933 | Peggy Ann Schultz | Registered Nurse | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-24 |
| 1578198594 | Anni Julliett Fuenmayor | Nutritionist | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-10 |
| 1871139394 | Sarah C Atkins | Nurse Practitioner | 2302 College Ave, Conway, AR 72034-6297 | 2019-11-19 |
| 1538714761 | Brooke Alexander Miller | Specialist/Technologist | 2302 College Ave, Conway, AR 72034-6297 | 2019-08-05 |
| 1083279533 | Faulkner Emergency Group, Pllc | Physician Assistant | 2302 College Ave, Conway, AR 72034-6297 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513957 | Conway Regional Medical Center, Inc | Family Medicine | 1700 Altus St Ste 110, Conway, AR 72032-4299 | 2020-03-19 |
| 1912543240 | University of Central Arkansas | Family Medicine | 201 Donaghey Ave Uca Student Health Center, Conway, AR 72035-5001 | 2019-11-21 |
| 1588012728 | Arkansas Health Group | Family Medicine | 625 United Dr Ste 120a, Conway, AR 72032-7826 | 2016-05-27 |
| 1477999282 | Michael Paul Carson | Family Medicine | 605 United Dr, Conway, AR 72032 | 2013-05-20 |
| 1427335835 | Brieanna R Breeding | Family Medicine | 2100 Meadowlake Rd Ste 10, Conway, AR 72032-2569 | 2011-11-14 |
| 1710217104 | Billy R Mcbay Md Pa | Family Medicine | 505 E Dave Ward Dr, Ste 3, Conway, AR 72032-7825 | 2010-01-06 |
| 1417118076 | Alexander Tyler | Family Medicine | 455 Elsinger Blvd, Conway, AR 72032-4716 | 2008-06-17 |
| 1336317593 | James L Floyd Jr. | Family Medicine | 128a Professional Park Place, Agape Physicians Care, Conway, SC 29526-9260 | 2008-02-11 |
| 1326246190 | Thad Ridge Hardin | Family Medicine | 2425 Dave Ward Dr Ste 401, Conway, AR 72034 | 2007-07-03 |
| 1235336959 | James Austin Capps Jr. | Family Medicine | Conway Interfaith Clinic, Inc, 830 North Creek Drive, Conway, AR 72032 | 2007-06-27 |
| Find all providers in CONWAY | ||||
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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.