DR. JACEY TANNER GUTHRIE (NPI# 1174942528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174942528 |
Entity Type | Individual |
Full Name | DR. JACEY TANNER GUTHRIE |
Credential | M.D. |
Practice Address |
4200 N Rodney Parham Rd Ste 202 Little Rock AR 72212 |
Mailing Address |
4200 N Rodney Parham Rd Ste 202 Little Rock AR 72212-2460 |
Practice Telephone | 5012274323 |
Practice Fax Number | 5012274149 |
Mailing Telephone | 5012274323 |
Mailing Fax Number | 5012274149 |
Enumeration Date | 2014-04-14 |
Last Update Date | 2018-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | E-11347 | AR | Allopathic & Osteopathic Physicians |
Street Address |
4200 N RODNEY PARHAM RD STE 202 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
1336486430 | William Edward Atkinson Jr. | Pathology | 22 Old Delmonte Drive, Little Rock, AR 72212 | 2013-01-09 |
Find all providers in zip 72212 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801215751 | Allison Noel Hood | Dermatology | 9601 Baptist Health Drive Suite 860, Little Rock, AR 72205 | 2014-04-08 |
1720333990 | Vivian Shi | Dermatology | 4018 W Capitol Ave, Little Rock, AR 72205 | 2012-07-13 |
1295098440 | Garrett James Nelson | Dermatology | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2012-06-22 |
1922398577 | Megan Suzanne Evans | Dermatology | 1 Childrens Way # 576, Little Rock, AR 72202-3500 | 2011-04-17 |
1093830150 | Terri Lynn Martin | Dermatology | 16115 Saint Vincent Way, Suite 300, Little Rock, AR 72223-3000 | 2007-03-20 |
1427081025 | Marla L Wirges | Dermatology | 16221 Saint Vincent Way Ste 300, Little Rock, AR 72223-9072 | 2006-07-08 |
1689602260 | Ling Gao | Dermatology | 4301 W. Markham, Slot 576, Dept of Dermatology, Univ of Arkansas for Med Sciences, Little Rock, AR 72205 | 2006-06-30 |
1447204490 | Thomas Allen Manning IIi | Dermatology | 500 S University Ste 301, Little Rock, AR 72205 | 2006-05-22 |
1912992843 | Daniel F Smith | Dermatology | 9601 Baptist Health Dr., Suite 690, Little Rock, AR 72205-6328 | 2005-09-16 |
1427043595 | Gunnar H Gibson | Dermatology | 4200 N Rodney Parham Rd, Suite 202, Little Rock, AR 72212-2461 | 2005-09-15 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72212 |
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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.