MONTE DOUGLAS (NPI# 1154736262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154736262 |
Entity Type | Individual |
Full Name | MONTE DOUGLAS |
Credential | PA-C |
Practice Address |
1400 Braden St Jacksonville AR 72076-3721 |
Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
Practice Telephone | 5012411676 |
Practice Fax Number | 5012411427 |
Mailing Telephone | 8703472534 |
Mailing Fax Number | 8703473492 |
Enumeration Date | 2014-06-26 |
Last Update Date | 2019-04-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA-547 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2 Saint Vincent Cir, Little Rock, AR 722055423 | 5015523000 |
Street Address |
1400 BRADEN ST |
City | JACKSONVILLE |
State | AR |
Zip Code | 72076-3721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174509673 | Pulaski Emergency Group LLC | Physician Assistant | 1400 Braden St, Jacksonville, AR 72076-3721 | 2005-12-16 |
1306476957 | David Wicker | Nurse Practitioner | 1400 Braden St, Jacksonville, AR 72076-3721 | 2020-01-23 |
1689130338 | Freedom Behavioral Hospital of Central Arkansas LLC | Psychiatric Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2019-02-19 |
1568715910 | Chg Cornerstone Hospital of Little Rock, LLC | Long Term Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2012-10-23 |
1376812487 | Gpn Jacksonville LLC | Emergency Medicine | 1400 Braden St, Er Dept, Jacksonville, AR 72076-3721 | 2011-12-19 |
1093044166 | Jacksonville Emergency Medicine LLC | Emergency Medicine | 1400 Braden St, Jacksonville, AR 72076-3721 | 2009-12-18 |
1134367022 | Rita Margaret Odom | Nurse Practitioner | 1400 Braden St, Jacksonville, AR 72076-3721 | 2009-01-30 |
1972709418 | Nasir Zareen | Emergency Medicine | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-06-22 |
1487863619 | Allegiance Hospital of North Little Rock, LLC | General Acute Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-05-22 |
1487870283 | Tammy M Copeland | Registered Nurse | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
Find all providers in zip 72076 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 72076 |
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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.