DEBRA LOU TOOKER (NPI# 1164728739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164728739 |
Entity Type | Individual |
Full Name | DEBRA LOU TOOKER |
Credential | PA |
Practice Address |
808 S 52nd St Rogers AR 72758-8602 |
Mailing Address |
3232 N Northhills Blvd Fayetteville AR 72703-4005 |
Practice Telephone | 4795871700 |
Practice Fax Number | 4795871366 |
Mailing Telephone | 4795871700 |
Mailing Fax Number | 4795871366 |
Enumeration Date | 2011-01-31 |
Last Update Date | 2020-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-432 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 197618795 | 05 | |
AR | MEDICARE | 762814 | 01 |
OK | 200813880A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3232 N Northhills Blvd, Fayetteville, AR 727034005 | 4795871700 | 4795871366 |
Street Address |
808 S 52ND ST |
City | ROGERS |
State | AR |
Zip Code | 72758-8602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033180229 | Daniel S Bradford | Internal Medicine | 808 S 52nd St, Rogers, AR 72758-8602 | 2006-01-27 |
1922623958 | Sarah Madore | Genetic Counselor, MS | 808 S 52nd St, Rogers, AR 72758-8602 | 2020-06-16 |
1477039105 | Jessica Carol Knight | Nurse Practitioner | 808 S 52nd St, Rogers, AR 72758-8602 | 2018-07-16 |
1184074593 | Stuart J. Benson, D.o., P.a. | Clinic/Center | 808 S 52nd St, Suite 201, Rogers, AR 72758-8602 | 2016-06-16 |
1922457647 | James B Baker Do Pa | Clinic/Center | 808 S 52nd St, Suite #201, Rogers, AR 72758-8602 | 2016-06-03 |
1255798989 | Jennifer Wade | Occupational Therapist | 808 S 52nd St, Rogers, AR 72758-8602 | 2016-01-26 |
1245635507 | Ginny F Cato | Nurse Practitioner | 808 S 52nd St, Rogers, AR 72758-8602 | 2014-10-29 |
1316359300 | Ambry Thompson | Physician Assistant | 808 S 52nd St, Rogers, AR 72758-8602 | 2014-05-23 |
1659611416 | Danielle Renee Hayes | Physician Assistant | 808 S 52nd St, Rogers, AR 72758-8602 | 2013-02-15 |
1720327141 | Caitlin Estelle Rochelle | Physician Assistant | 808 S 52nd St, Rogers, AR 72758-8602 | 2013-02-05 |
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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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
1700351376 | Hailey Arens | Physician Assistant | 3300 S Market St Ste 118, Rogers, AR 72758-8127 | 2018-10-09 |
1184069304 | Kristina Kay Thissen | Physician Assistant | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2013-05-01 |
1417192774 | Shea S Arnold | Physician Assistant | 2708 S Rife Medical Ln, Suite 300, Rogers, AR 72758-1452 | 2008-12-15 |
1851586713 | Susan Carol Zwiaska | Physician Assistant | 2012 S Promenade Blvd, Rogers, AR 72758-9073 | 2007-09-12 |
1952310252 | Jamie L Gallagher | Physician Assistant | 2710 Rife Medical Lane, Rogers, AR 72758-1452 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
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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.