KRISTOPHER B SHEWMAKE (NPI# 1164474722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164474722 |
| Entity Type | Individual |
| Full Name | KRISTOPHER B SHEWMAKE |
| Other Name | KRIS B SHEWMAKE |
| Credential | MD |
| Practice Address |
9500 Kanis Road Ste 501 Little Rock AR 72205 |
| Mailing Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
| Practice Telephone | 5012198388 |
| Practice Fax Number | 5012172520 |
| Mailing Telephone | 5016868000 |
| Mailing Fax Number | 5015266562 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | C6666 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 111463001 | 05 |
| Street Address |
9500 KANIS ROAD STE 501 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033161609 | Gary E Talbert | Plastic Surgery | 9500 Kanis Road, Ste 501, Little Rock, AR 72205 | 2006-05-16 |
| 1477680197 | James E Hagans IIi | Surgery | 9500 Kanis Road, Suite 501, Little Rock, AR 72205 | 2007-02-28 |
| 1285689455 | Chris M Cate | Surgery | 9500 Kanis Road, Ste 501, Little Rock, AR 72205 | 2006-05-24 |
| 1720030596 | Patrick N Osam Sr. | Surgery | 9500 Kanis Road, Ste 501, Little Rock, AR 72205 | 2006-05-17 |
| 1457303224 | Michael Marion Pollock | Surgery | 9500 Kanis Road, Ste 501, Little Rock, AR 72205 | 2006-05-17 |
| 1598717373 | William Everett Tucker Jr. | Surgery | 9500 Kanis Road, Ste 501, Little Rock, AR 72205 | 2006-05-17 |
| 1568414340 | John Frederick Dunn | Surgery | 9500 Kanis Road, Ste 501, Little Rock, AR 72205 | 2006-05-17 |
| 1235181066 | David H Bauer | Plastic Surgery | 9500 Kanis Road, Suite 501, Little Rock, AR 72205 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750706420 | Robert Vogel | Plastic Surgery | 54 Longlea Ct, Little Rock, AR 72212-2767 | 2014-03-04 |
| 1114351970 | Norton Allen Pope | Plastic Surgery | 76 Robinwood Dr, Little Rock, AR 72227-2222 | 2013-08-29 |
| 1790809002 | Michael Andrew Devlin | Plastic Surgery | 10801 Executive Center Drive, Suite 303, Little Rock, AR 72211 | 2007-03-19 |
| 1508994393 | Roger Wilbert Anderson | Plastic Surgery | 2200 N Rodney Parham Rd, Suite 200, Little Rock, AR 72212-4140 | 2007-03-01 |
| 1033161609 | Gary E Talbert | Plastic Surgery | 9500 Kanis Road, Ste 501, Little Rock, AR 72205 | 2006-05-16 |
| 1205336781 | Wright Plastic Surgery, Pa | Plastic Surgery | 10801 Executive Center Dr Ste 101, Little Rock, AR 72211-4301 | 2018-02-20 |
| 1326488339 | Melanie Prince, Md, Pa | Plastic Surgery | 8201 Cantrell Rd, Ste 265, Little Rock, AR 72227-2453 | 2013-07-05 |
| 1518260934 | Little Rock Plastic Surgery, Pa | Plastic Surgery | 2200 N Rodney Parham Rd, Ste 200, Little Rock, AR 72212-4140 | 2010-12-07 |
| 1831346535 | Keith G. Wolter | Plastic Surgery | 4301 W Markham St, #720, Little Rock, AR 72205-7101 | 2008-08-25 |
| 1033394457 | Arkansas Plastic Surgery, P.a. | Plastic Surgery | 9500 Kanis Rd, Suite 502, Little Rock, AR 72205-6324 | 2008-01-03 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.