GUILFORD M. DUDLEY, M.D., P.A. (NPI# 1255457842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255457842 |
| Entity Type | Organization |
| Organization Name | GUILFORD M. DUDLEY, M.D., P.A. |
| Practice Address |
2200 Malcolm Ave Suite B Newport AR 72112-3668 |
| Practice Telephone | 8705122522 |
| Practice Fax Number | 8705122525 |
| Mailing Telephone | 8705122522 |
| Mailing Fax Number | 8705122525 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GUILFORD M DUDLEY (PRESIDENT) |
| Authorized Official Telephone | 8705122522 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
R1908 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
2200 MALCOLM AVE SUITE B |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114992732 | Nicole M Lawson | Family Medicine | 2200 Malcolm Ave, Suite B, Newport, AR 72112-3668 | 2006-02-17 |
| 1225132889 | White River Health Systems | Clinic/Center | 2200 Malcolm Ave, Suite B, Newport, AR 72112-3668 | 2006-09-12 |
| 1871609743 | White River Health System Inc | Family Medicine | 2200 Malcolm Ave, Suite B, Newport, AR 72112-3668 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518181767 | Joel B. Fankhauser | Internal Medicine | 2103 S 54th St, Suite 1, Rogers, AR 72758-8169 | 2007-04-12 |
| 1659639664 | Gary Browning Berner | Internal Medicine | 614 E Emma Ave, Suite 300, Springdale, AR 72764-4469 | 2012-04-26 |
| 1588841340 | Shuja Rasool | Internal Medicine | 2205 W Main St, Russellville, AR 72801-2759 | 2008-01-23 |
| 1578653879 | Akef R. Abu-rmaileh | Internal Medicine | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-10-15 |
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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.