DR. WILLIAM RALPH GULLEDGE JR. (NPI# 1164418364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164418364 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM RALPH GULLEDGE JR. |
| Credential | M.D. |
| Practice Address |
2548 Anasazi Way Springdale UT 84767 |
| Mailing Address |
Po Box 247 Springdale UT 84767-0247 |
| Practice Telephone | 8179214191 |
| Practice Fax Number | 8662211446 |
| Mailing Telephone | 8179291815 |
| Mailing Fax Number | 8662219981 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
E9213 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PO84931FG | 05 |
| Street Address |
2548 ANASAZI WAY |
| City | SPRINGDALE |
| State | UT |
| Zip Code | 84767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023164167 | National Park Service | Ambulance | State Route 9, Springdale, UT 84767 | 2007-01-25 |
| 1497801526 | Rockville Springdale Fire Protection District | Ambulance | State Route 9, Springdale, UT 84767 | 2007-01-25 |
| 1184764995 | Helen G Mcmahan | Nurse Practitioner | 120 Lion Blvd, Springdale, UT 84767-0246 | 2007-02-08 |
| 1538345830 | Resort Medical Services, P.C. | Clinic/Center | 120 Lion Blvd, Springdale, UT 84767-0248 | 2008-01-16 |
| 1477693281 | Michael G Mcmahan | Physician Assistant | 120 Lion Blvd, Springdale, UT 84767-0248 | 2007-02-08 |
| 1134752686 | Mallory Spendlove | Dietitian, Registered | 1416 Zion Park Blvd, Springdale, UT 84767-7765 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801543 | Learning and Behavior Consulting LLC | Behavioral Analyst | 364 Jtl Pkwy E, Springdale, AR 72762-8414 | 2020-11-02 |
| 1528668357 | Medical Associates of Northwest Arkansas, Pa | Radiology | 3901 Parkway Cir Ste 125, Springdale, AR 72762-6362 | 2020-10-30 |
| 1407463912 | Brittani Alomar | Speech-Language Pathologist | 10001 Ardwick Ardmore Rd, Springdale, MD 20774-2640 | 2020-09-29 |
| 1720691678 | Laura T Bailey Aprn Pllc | Physician Assistant | 5320 W Sunset Ave Ste 176, Springdale, AR 72762-4415 | 2020-08-28 |
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1326656596 | Andrea Eads | Pharmacist | 3514 Sweetgum Ln, Springdale, AR 72764-6611 | 2020-07-14 |
| 1295352946 | Jantsen Hunter Lynn | Physical Therapist | 2070 Mckenzie Rd Ste A, Springdale, AR 72762-0870 | 2020-06-29 |
| 1942824016 | Machen Reese Beard | Speech-Language Pathologist | 5230 Willow Creek Dr Ste 101, Springdale, AR 72762-0898 | 2020-06-03 |
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1215557897 | Wh Ar Dental Pllc | Dentist | 4870 Elm Springs Rd Ste B, Springdale, AR 72762-3749 | 2020-04-23 |
| Find all providers in SPRINGDALE | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851345623 | Ram Surat Singh | Psychiatry & Neurology | 12071 Sheraton Lane, Springdale, OH 45246 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607589 | Trenton L Overall, Inc | Psychiatry & Neurology | 295 S 1470 E Ste 301, St George, UT 84790-1762 | 2020-10-23 |
| 1720648744 | Carepoint Health, LLC | Psychiatry & Neurology | St. Mark's Hospital, 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-20 |
| 1629596382 | Red Rock Neurology, LLC | Psychiatry & Neurology | 515 S 300 E Ste 107, St George, UT 84770-3931 | 2017-09-01 |
| 1225482276 | Preston Erickson | Psychiatry & Neurology | 4403 Harrison Blvd Ste 3855, Ogden, UT 84403-3349 | 2016-04-15 |
| 1801273743 | Michael Cline | Psychiatry & Neurology | 825 E 1700 S, Salt Lake City, UT 84105-3225 | 2015-04-29 |
| 1619219847 | Mark Waheed | Psychiatry & Neurology | The University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2013-03-26 |
| 1568707586 | Kyle Mahoney | Psychiatry & Neurology | 175 N Medical Drive E 3rd Floor, Salt Lake City, UT 84132 | 2012-12-03 |
| 1538435979 | Brett Tyson Alldredge | Psychiatry & Neurology | 4403 Harrison Blvd # 4403, Ogden, UT 84403-3271 | 2012-03-29 |
| 1922377043 | Southern Utah Neuropsychiatry | Psychiatry & Neurology | 577 East Tabernacle, St. George, UT 84770-2944 | 2011-12-19 |
| 1699076224 | Angela Yvonne Peters | Psychiatry & Neurology | University of Utah Dept of Neurology, 175 N Medical Drive East, Salt Lake City, UT 84132-0001 | 2010-11-12 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 84767 |
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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.