JACKIE LEON CHEATHAM (NPI# 1225348980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225348980 |
| Entity Type | Individual |
| Full Name | JACKIE LEON CHEATHAM |
| Credential | EMT |
| Practice Address |
907 Ar Hwy 56 Calico Rock AR 72519-0261 |
| Mailing Address |
Po Box 261 907 Ar Hwy 56 Calico Rock AR 72519-0261 |
| Practice Telephone | 8704219494 |
| Mailing Telephone | 8704219494 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 16847 | AR | Emergency Medical Service Providers |
| Street Address |
907 AR HWY 56 |
| City | CALICO ROCK |
| State | AR |
| Zip Code | 72519-0261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063717106 | Jackie Cheatham | Emergency Response System Companies | 907 Ar Hwy 56, Calico Rock, AR 72519 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096630 | Speech and Swallowing Specialists of Arkansas LLC | Clinic/Center | 557 Pleasant Valley Road, Calico Rock, AR 72519 | 2020-09-08 |
| 1144862111 | Reagan Nicole Watson | Technician | 40 Pine Forest Trail, Jordan, AR 72519 | 2019-10-11 |
| 1588015820 | Bradley Bibb Md Pllc | Clinic/Center | 2161 Ar 56 Highway, Calico Rock, AR 72519 | 2016-06-28 |
| 1821437302 | Kristie D Branscum | Nurse Practitioner | 35 Grasse St, Calico Rock, AR 72519 | 2013-06-18 |
| 1295998326 | John Tipton Lane | Dentist | 2860 Park St., Calico Rock, AR 72519 | 2008-07-09 |
| 1255599189 | Cmc Home Health and Hospice, LLC | Home Health | 54 Grasse St, Calico Rock, AR 72519 | 2008-05-28 |
| 1942276217 | Shad Ashley Mcclain | Chiropractor | 201 Hwy 223 (jct 56 & 223), Calico Rock, AR 72519 | 2006-02-27 |
| 1699741082 | Robert C Lane | Anesthesiology | 35 Grasse Street, Calico Rock, AR 72519 | 2006-02-24 |
| 1164896650 | White River Health System, Inc | Family Medicine | 35 Grasse St, Calico Rock, AR 72519 | 2015-11-20 |
| 1467649533 | Susan Kay Thomas | Physical Therapy Assistant | 103 Grasse Street, Calico Rock, AR 72519 | 2007-10-02 |
| Find all providers in zip 72519 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003384041 | Demond Lavar Shields | Emergency Medical Technician, Basic | 130 Barton Cv, Marion, AR 72364-1601 | 2018-11-07 |
| 1184975310 | John Dorsey Pike Sr. | Emergency Medical Technician, Basic | 5 Chaparral Ln, Little Rock, AR 72212-3619 | 2012-09-27 |
| 1386648855 | Volunteer Ambulance Service of Ne Benton County | Emergency Medical Technician, Basic | 17938 Dennis Mitchell Rd, Garfield, AR 72732-9048 | 2005-06-12 |
| 1295106524 | Belinda Snyder Bolden | Emergency Medical Technician, Basic | 3214 E Race Ave, Searcy, AR 72143-4810 | 2015-10-13 |
| 1508137308 | Jonathan Morgan Elrod | Emergency Medical Technician, Basic | 1 Childrens Way, Little Rock, AR 72202-3500 | 2012-01-25 |
| City | CALICO ROCK |
| Zip Code | 72519 |
Please comment or provide details below to improve the information on JACKIE LEON CHEATHAM.
| 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.