DR. G GLEN CHITWOOD (NPI# 1164487864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164487864 |
| Entity Type | Individual |
| Full Name | DR. G GLEN CHITWOOD |
| Credential | MD |
| Practice Address |
2710 Rife Medical Lane Rogers AR 72758-1452 |
| Mailing Address |
Dept 241 Po Box 1559 Tulsa OK 74101-1559 |
| Practice Telephone | 4793388000 |
| Practice Fax Number | 5016640302 |
| Mailing Telephone | 8772438418 |
| Mailing Fax Number | 9186632281 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C-5273 | AR | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C5273 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 118166001 | 05 |
| Street Address |
2710 RIFE MEDICAL LANE |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770560518 | Bradley Wierda | Nurse Anesthetist, Certified Registered | 2710 Rife Medical Lane, Anesthesia Dept, Rogers, AR 72758-1452 | 2005-12-22 |
| 1154460061 | Brandie Jolie Cockrell | Nurse Anesthetist, Certified Registered | 2710 Rife Medical Lane, Anesthesia Dept, Rogers, AR 72758-1452 | 2007-02-06 |
| 1952310252 | Jamie L Gallagher | Physician Assistant | 2710 Rife Medical Lane, Rogers, AR 72758-1452 | 2006-08-05 |
| 1831115047 | James Milton Merritt | Hospitalist | 2710 Rife Medical Lane, Hospitalist, Rogers, AR 72758 | 2006-07-14 |
| 1740210061 | Matthew Lamar Lyle | Nurse Anesthetist, Certified Registered | 2710 Rife Medical Lane, Anesthesia Dept, Rogers, AR 72758-1452 | 2006-07-03 |
| 1245295443 | John Keith Hedgecock | Radiology | 2710 Rife Medical Lane, Rogers, AR 72758-1452 | 2006-04-19 |
| 1093770786 | Jon Everett Shoppach | Radiology | 2710 Rife Medical Lane, Rogers, AR 72758-1452 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245626704 | Michael Platt | Radiology | 15 W Nottingham Ln, Rogers, AR 72758-9513 | 2015-04-11 |
| 1770525594 | Rondall Kevin Haney | Radiology | 5433 Walsh Lane, Rogers, AR 72758 | 2006-06-13 |
| 1972568475 | Professional Radiology Services, Pa | Radiology | 302 N 8th St, Suite 3, Rogers, AR 72756-3738 | 2006-04-18 |
| 1295089605 | Ozark Regional Vein Center, LLC | Radiology | 5507 Walsh Lane, Suite 101, Rogers, AR 75758-9007 | 2012-11-07 |
| 1639498512 | Andrea Nichole Placzek | Radiology | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2010-05-18 |
| 1598992141 | Todd Lee Mapes | Radiology | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2009-06-22 |
| 1396987731 | Andrew Gordon West | Radiology | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2009-03-31 |
| 1962674911 | Pinnacle Radiology Pllc | Radiology | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2008-03-31 |
| 1033206735 | Phillip Ryan Hill | Radiology | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2006-10-06 |
| 1073604559 | Aaron Francis Woodward | Radiology | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2006-09-27 |
| Find all providers in ROGERS | ||||
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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.