DEBRA FAULKNER (NPI# 1265620868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265620868 |
| Entity Type | Organization |
| Organization Name | DEBRA FAULKNER |
| Other Organization Name | PORTABLE IMAGING |
| Practice Address |
3025 N Wyatt Dr El Dorado AR 71730-4189 |
| Practice Telephone | 8703100321 |
| Practice Fax Number | 8708622074 |
| Mailing Telephone | 8703100321 |
| Mailing Fax Number | 8708622074 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2010-08-30 |
| Authorized Official Name | MS. DEBRA KAY FAULKNER (OWNER) |
| Authorized Official Telephone | 8703100321 |
| Authorized Official Credential | R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 140983710 | 05 |
| Other Name | Type Code |
|---|---|
| Portable Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225217243 | Debra Faulkner | Clinic/Center | 532 W Faulkner St, El Dorado, AR 71730-4519 | 2007-10-26 |
| Street Address |
3025 N WYATT DR |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529893 | Debra Kay Faulkner | Radiologic Technologist | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2005-09-20 |
| 1013203785 | Southark Imaging LLC | Clinic/Center | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2011-06-21 |
| 1619292653 | David Allen Faulkner | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619292653 | David Allen Faulkner | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811403637 | Med Mobile Digital Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 124 S Jackson Ste 321, Magnolia, AR 71753-3540 | 2017-12-15 |
| 1316463227 | Clearview Digital Image LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 16502 Lawson Rd Ste A, Little Rock, AR 72210-2020 | 2017-08-22 |
| 1053602532 | Camcade Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 200 Hill St, Warren, AR 71671-2483 | 2011-05-02 |
| 1649595794 | On-site Imaging Solutions, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 16502 Lawson Rd, Little Rock, AR 72210-2020 | 2010-04-01 |
| 1952532335 | Advanced Portable X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3718 Jefferson Ave, Texarkana, AR 71854-2244 | 2009-08-03 |
| 1306901806 | River Valley Mobile Radiology, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 76 Stream Rd, Russellville, AR 72802-1824 | 2006-12-26 |
| 1063472074 | H & B Mobile X-ray | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3205 West Main, Russellville, AR 72801 | 2006-03-24 |
| 1396745071 | Mobile Radiology Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5704 Ridgeview Dr, Jonesboro, AR 72404-9043 | 2005-07-26 |
| 1598264186 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4020 Richards Rd, North Little Rock, AR 72117-2650 | 2018-02-08 |
| 1669704987 | University of Arkansas for Medical Sciences | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2010-02-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEBRA FAULKNER.
| 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.