HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC (NPI# 1285234252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285234252 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC |
| Practice Address |
220 Madison 2620 Kingston AR 72742 |
| Mailing Address |
1661 Airport Rd Ste D Hot Springs AR 71913-8184 |
| Practice Telephone | 4796652835 |
| Mailing Telephone | 5016257500 |
| Mailing Fax Number | 5016257777 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | BRENDA LARIE SOUTHERLAND (CFO) |
| Authorized Official Telephone | 5016257500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HSP - Kingston School Based Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709995 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 505 W Section Line Road, Poyen, AR 72128 | 2020-10-29 |
| 1124627781 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 370 Highway 215, Oark, AR 72852-8858 | 2020-10-23 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1508240482 | Healthstar Physicians of Hot Springs, Pllc | Clinic/Center | 120 Adcock Rd Ste A, Hot Springs, AR 71913 | 2015-07-10 |
| 1962001511 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 755 Highway 8 E, Amity, AR 71921-8562 | 2020-10-23 |
| 1811596471 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 600 School St, Jasper, AR 72641-8802 | 2020-10-23 |
| 1265071765 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 1517 S Main St, Malvern, AR 72104-5231 | 2019-12-31 |
| 1144782632 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 124 Hollywood Ave, Hot Springs, AR 71901-7057 | 2019-04-03 |
| 1083165138 | Healthstar Physicians of Hot Springs, Pllc | Speech-Language Pathologist | 1661 Airport Rd Ste A, Hot Springs, AR 71913 | 2016-10-24 |
| Street Address |
220 MADISON 2620 |
| City | KINGSTON |
| State | AR |
| Zip Code | 72742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637309 | Christine Marie Pabst | Nurse Practitioner | 667 Meadowland Ave, Kingston, PA 18704-5316 | 2020-10-20 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1154938744 | Dale Sumilang | Registered Nurse | 55 Lower College Rd Rm 204, Kingston, RI 02881-1972 | 2020-09-28 |
| 1942817689 | Brenna Grace Maynard | Student in an Organized Health Care Education/Training Program | 55 Lower College Rd, Kingston, RI 02881-1972 | 2020-09-27 |
| 1790398626 | Carmine P Milo | Registered Nurse | 22 Dunwoodie Dr, Kingston, NY 12401-6920 | 2020-08-29 |
| 1659984268 | Julia Ann Forbes | Social Worker | 3 Schoolhouse Ln, Kingston, MA 02364-1861 | 2020-08-25 |
| 1679185565 | Gina Weidow | Social Worker | 480 Pierce St Ste 316, Kingston, PA 18704-5512 | 2020-08-20 |
| 1053922245 | Olivia R Mackrell | Social Worker | 1023 Decker St, Kingston, NY 12401-1405 | 2020-08-12 |
| 1962012492 | Casey Gaul I | Audiologist-Hearing Aid Fitter | 423 3rd Ave Ste C, Kingston, PA 18704-5809 | 2020-08-10 |
| Find all providers in KINGSTON | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912423468 | Vintage Direct Primary Care | Family Medicine | 25985 Barbr Cutff Rd Ne Ste B1, Kingston, WA 98346-9596 | 2017-08-16 |
| 1063945798 | Danielle Isenburg | Family Medicine | 1240 Ulster Ave Ste 104, Kingston, NY 12401-1517 | 2017-04-10 |
| 1437546140 | Nedal Amin Elass | Family Medicine | 701 Highway 70 E, Kingston, OK 73439-8253 | 2015-04-20 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1033459680 | Health Quest Medical Practice | Family Medicine | 40 Hurley Ave Ste 18, Kingston, NY 12401-3738 | 2013-02-19 |
| 1295064178 | Lakeside Family Medicine | Family Medicine | 21 N. Main Street, Kingston, OK 73439-1798 | 2009-12-23 |
| 1871769125 | Ira Vohra | Family Medicine | 610 Wyoming Ave Ste 1, Kingston, PA 18704-3702 | 2008-05-07 |
| 1801067145 | Michael E Fath, D.o., P.c | Family Medicine | 618 Wyoming Ave, Kingston, PA 18704-3702 | 2008-03-14 |
| 1275702961 | Baptist Healthcare of Oklahoma | Family Medicine | 700 S Muncrief At Hwy 70, Kingston, OK 73439-0762 | 2008-02-27 |
| 1134308471 | Joseph F Kerbleski | Family Medicine | 368 Broadway Ste 202, Kingston, NY 12401-5160 | 2007-11-02 |
| Find all providers in KINGSTON | ||||
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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.