NELSON ANCALMO (NPI# 1225094170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225094170 |
| Entity Type | Individual |
| Full Name | NELSON ANCALMO |
| Credential | M.D. |
| Practice Address |
1609 W 40th Ave Suite 202 Pine Bluff AR 71603-6329 |
| Practice Telephone | 8705410668 |
| Mailing Telephone | 8705410668 |
| Mailing Fax Number | 8705410083 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | E0073 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AETNA | 4351355 | 01 |
| AR | BLUE CROSS OF ARKANSAS | 5J432 | 01 |
| Street Address |
1609 W 40TH AVE SUITE 202 |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852734 | Amy Boast Cahill | Obstetrics & Gynecology | 1609 W 40th Ave, Ste 204, Pine Bluff, AR 71603-6367 | 2005-06-22 |
| 1851787089 | Katie Loetscher | Nurse Practitioner | 1609 W 40th Ave, #204, Pine Bluff, AR 71603-6319 | 2015-04-14 |
| 1578906152 | Torrance A Walker Md Pa | Preferred Provider Organization | 1609 W 40th Ave, Suite 201, Pine Bluff, AR 71603-6319 | 2013-04-12 |
| 1982940433 | Jefferson Hospital Assn, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2013-01-02 |
| 1962753574 | Jefferson Hospital Assn, Inc. | Surgery | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2012-09-21 |
| 1275841306 | Jefferson Hospital Association, Inc. | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2010-09-23 |
| 1285865865 | Lisa A Bearden Md Pa | Clinic/Center | 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319 | 2009-07-30 |
| 1316184815 | Charles A. Clark, Md, Pa | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2009-01-21 |
| 1770750176 | Roy Louis Burrell | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2008-05-14 |
| 1891975173 | Amy Boast Cahill, M.d., P.a. | Clinic/Center | 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319 | 2007-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982940433 | Jefferson Hospital Assn, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2013-01-02 |
| 1942245220 | Cardiovascular Surgery Center of South Arkansas, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1609 W 40th Ave, Suite 202, Pine Bluff, AR 71603-6329 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215322003 | George Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 53 Quercus Cir, Little Rock, AR 72223-5159 | 2015-03-30 |
| 1033404199 | Jack Stephens Heart Institute LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 St. Vincent Circle, Ste 501, Little Rock, AR 72205-5414 | 2011-06-16 |
| 1710146907 | J P Rowen Surgery, Plc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9501 Lile Dr Ste 888, Little Rock, AR 72205-6233 | 2008-06-03 |
| 1811073604 | Watkins, Bauer & Meadors, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 | 2006-10-27 |
| 1376640284 | Reginald Wb Barnes Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One St Vincent Circle Suite 360, Little Rock, AR 72205 | 2006-09-20 |
| 1487690186 | Marc Denton Stam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Lexington Ave, Fort Smith, AR 72901-4737 | 2006-06-21 |
| 1851354393 | James A Ameika | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Apache Dr, Suite B4, Jonesboro, AR 72401 | 2006-04-07 |
| 1023009040 | Victor Bernard Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9712 W Markham St, Little Rock, AR 72205-2124 | 2005-10-31 |
| 1699779686 | Paul S Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4802 E Johnson Ave, Jonesboro, AR 72401 | 2005-06-08 |
| 1265435085 | Travis M Spears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 628 Stone Rd, Saint Joe, AR 72675-1423 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.