DE QUEEN MEDICAL CENTER INC (NPI# 1194852715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194852715 |
| Entity Type | Organization |
| Organization Name | DE QUEEN MEDICAL CENTER INC |
| Practice Address |
1306 W Collin Raye Dr De Queen AR 71832-2502 |
| Practice Telephone | 8705840272 |
| Practice Fax Number | 8705844100 |
| Mailing Telephone | 8705840272 |
| Mailing Fax Number | 8705844100 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | JOHN A. MATHESON (CEO) |
| Authorized Official Telephone | 8705840272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
AR4365 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200064800A | 05 | |
| AR | BLUE CROSS | 5F418 | 01 |
| AR | 157501002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1184612194 | De Queen Medical Center Inc | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2005-10-12 |
| 1598922114 | De Queen Medical Center Inc | Medicare Defined Swing Bed Unit | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-05-21 |
| 1326205949 | De Queen Medical Center Inc | Rehabilitation Unit | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-05-21 |
| 1154423523 | De Queen Medical Center Inc | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2006-09-05 |
| Street Address |
1306 W COLLIN RAYE DR |
| City | DE QUEEN |
| State | AR |
| Zip Code | 71832-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612194 | De Queen Medical Center Inc | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2005-10-12 |
| 1104356419 | De Queen Medical Center Dialysis | Clinic/Center | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2017-06-19 |
| 1245630227 | Deadre Brady | Physical Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2014-08-27 |
| 1013334606 | Kimberly Henritze | Occupational Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2014-03-21 |
| 1760806020 | Tasha Hodges | Physical Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2014-02-06 |
| 1437405354 | Sarah Beth Friday | Physical Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2012-07-29 |
| 1851657415 | Dequeen Medical Center | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2012-04-09 |
| 1588961338 | Darrin Ashbrooks Md Pa | Family Medicine | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2011-02-14 |
| 1831407741 | Laken Marie Plunk | Physical Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2010-09-14 |
| 1598922114 | De Queen Medical Center Inc | Medicare Defined Swing Bed Unit | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
| 1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
| 1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
| 1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
| 1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
| 1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
| 1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
| 1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
| Find all providers in zip 71832 | ||||
| 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 |
|---|---|---|---|---|
| 1023294030 | James Leonard Workman Jr. Pa | Radiology | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-01-21 |
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| 1548813793 | Medcom Imaging, Inc. | Radiology | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-07-17 |
| 1750848552 | Tamesha Green | Radiology | 3204 Salinas De Hidalgo, North Little Rock, AR 72118-1167 | 2019-02-27 |
| 1598243560 | Medical Associates of Northwest Arkansas Pa | Radiology | 502 N Walnut St, Harrison, AR 72601-3616 | 2018-08-01 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1245626704 | Michael Platt | Radiology | 15 W Nottingham Ln, Rogers, AR 72758-9513 | 2015-04-11 |
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1700211653 | Medical Associates of Northwest Arkansas Pa | Radiology | 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 | 2013-09-11 |
| 1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
| Find all providers with the same taxonomy | ||||
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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.