UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES


Address: 1222 W 42nd St, Pine Bluff, AR 71603
Phone: 8705351819

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (NPI# 1275569758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275569758
Entity Type Organization
Organization Name UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Other Organization Name JUSTISS LINDSEY CLINIC AHEC
Practice Address 1222 W 42nd St
Pine Bluff
AR 71603
Mailing Address 4010 Mulberry St
Pine Bluff
AR 71603
Practice Telephone 8705351819
Practice Fax Number 8705343340
Mailing Telephone 8705416008
Mailing Fax Number 8705416034
Enumeration Date 2006-06-25
Last Update Date 2020-08-22
Authorized Official Name MRS. KATHLEEN WYLIE (OFFICE MANAGER)
Authorized Official Telephone 8705416008
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Justiss Lindsey Clinic AHEC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053939058 University of Arkansas for Medical Sciences Family Medicine 308 East Milton, Fouke, AR 71837 2020-07-07
1871091355 University of Arkansas for Medical Sciences Psychiatric Unit 3001 W Roosevelt Rd, Little Rock, AR 72204-5658 2018-01-30
1275056004 University of Arkansas for Medical Sciences Orthopaedic Surgery 108015 Colonel Glenn Rd, Little Rock, AR 72204 2017-07-24
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
1194060830 University of Arkansas for Medical Sciences Clinic/Center 4301 West Markham, Slot 624, Little Rock, AR 72205-7101 2012-12-06
1275801706 University of Arkansas for Medical Sciences Psychiatric Hospital 4224 Shuffield Drive, Little Rock, AR 72205 2011-12-12
1326341488 University of Arkansas for Medical Sciences General Practice 4301 W Markham St # 528, Little Rock, AR 72205-7101 2010-12-13
1326358714 University of Arkansas for Medical Sciences Dietitian, Registered 4021 W 8th St, Little Rock, AR 72204-2029 2010-10-19
1750533642 University of Arkansas for Medical Sciences Social Worker 800 Marshall St # Slot900, Little Rock, AR 72202-3510 2008-10-22
1356593479 University of Arkansas for Medical Sciences Registered Nurse 519 Latham Drive, Lowell, AR 72745 2008-10-21

Office Location

Street Address 1222 W 42ND ST
City PINE BLUFF
State AR
Zip Code 71603

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376001172 Larisa Kachowski, Md Family Medicine 1726 W 42d Ave, Pine Bluff, AR 71603-7160 2019-03-11
1922578327 Jefferson Hospital Association, Inc. Family Medicine 1801 W 40th Ave Ste 6a, Pine Bluff, AR 71603-6963 2018-11-28
1689191108 Chizoba Usuwa Family Medicine 1601 W 40th Ave Ste 1, Pine Bluff, AR 71603-6069 2017-08-25
1649700337 Raquel M Rivera-cruz Family Medicine 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 2017-06-14
1306156476 Michele A Pashkevich Md Pa Family Medicine 1708 W 42nd Ave, Pine Bluff, AR 71603-7008 2010-10-07
1578881488 Jaron Fredrick Byrd Family Medicine 6401 S Hazel St Apt 515, Pine Bluff, AR 71603-7848 2010-05-17
1023214574 Larisa Kachowski Family Medicine 1726 W42d Ave, Pine Bluff, AR 71603 2007-06-22
1740217132 James A Lindsey Family Medicine 1222 W 42nd Ave, Pine Bluff, AR 71603-7109 2006-06-28
1396772398 Gerald Clifton Morris Family Medicine 209 N Blake St, Pine Bluff, AR 71601-3226 2006-06-26
1306882501 Lester Trulie Alexander Family Medicine 4747 Dusty Lake Dr Ste G1, Pine Bluff, AR 71603-9056 2006-06-22
Find all providers in PINE BLUFF

Competitor

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City PINE BLUFF
Zip Code 71603

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Dataset Information

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.

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