WENDY SPANOS, M.D., P.A. (NPI# 1194876730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194876730 |
Entity Type | Organization |
Organization Name | WENDY SPANOS, M.D., P.A. |
Other Organization Name | DBA HEALTH MATTERS FMC |
Practice Address |
1107 E Matthews Ave Ste 103 Jonesboro AR 72401-4331 |
Practice Telephone | 8709350700 |
Practice Fax Number | 8709350706 |
Mailing Telephone | 8709350700 |
Mailing Fax Number | 8709350706 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2013-07-31 |
Authorized Official Name | DR. WENDY L SPANOS (OWNER) |
Authorized Official Telephone | 8709350700 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 163875002 | 05 |
Other Name | Type Code |
---|---|
dba Health Matters FMC | Doing Business As Name - Organization |
Street Address |
1107 E MATTHEWS AVE STE 103 |
City | JONESBORO |
State | AR |
Zip Code | 72401-4331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
Find all providers in zip 72401 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588118608 | Integrity Medical Consulting of Jonesboro | Clinic/Center | 616 Southwest Dr, Jonesboro, AR 72401-5859 | 2016-08-05 |
1982684825 | University of Arkansas for Medical Sciences | Clinic/Center | 311 E. Matthews, Jonesboro, AR 72401 | 2006-01-18 |
1205467123 | Spartan Health & Fitness | Clinic/Center | 2007 E Nettleton Ave Ste B, Jonesboro, AR 72401-5286 | 2020-01-29 |
1548616394 | Business & Technology Outreach Corporation | Clinic/Center | 7130 Mount Zion Blvd Ste 7, Jonesboro, GA 30236-2566 | 2016-05-11 |
1619381407 | Daniel Bennett Md Pa | Clinic/Center | 1811 Executive Sq, Jonesboro, AR 72401-6086 | 2014-06-19 |
1952667628 | Uni-one Medical Clinic LLC | Clinic/Center | 300 N Main St, Suite 306, Jonesboro, GA 30236-3296 | 2012-04-07 |
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1346848850 | Arkansas Premier Medical Clinic | Clinic/Center | 22461 I 30 Ste 402, Bryant, AR 72022-2383 | 2020-10-16 |
1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
1548892433 | Genesis Health and Wellness, Pllc | Clinic/Center | 110 N Hendrix St, Imboden, AR 72434-9077 | 2020-02-07 |
1700430386 | Kidspiration of Marion County | Clinic/Center | 81 Development Dr, Yellville, AR 72687-0662 | 2019-07-31 |
1891357455 | Pinnacle Health Partners Pllc | Clinic/Center | 17447 Highway 9, Benton, AR 72019-9223 | 2019-07-03 |
1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
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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.