OZARK REGIONAL VEIN CENTER, LLC (NPI# 1295089605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295089605 |
| Entity Type | Organization |
| Organization Name | OZARK REGIONAL VEIN CENTER, LLC |
| Practice Address |
5507 Walsh Lane Suite 101 Rogers AR 75758-9007 |
| Practice Telephone | 4794648346 |
| Mailing Telephone | 4794648346 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | MR. RONDALL KEVIN HANEY (OWNER) |
| Authorized Official Telephone | 4794648346 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C-8120 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
5507 WALSH LANE SUITE 101 |
| City | ROGERS |
| State | AR |
| Zip Code | 75758-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184825408 | Apn Rainbow Pediatric Services, Pllc | Pediatrics | 5507 Walsh Lane, Ste 101, Rogers, AR 72758-8941 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534979 | Thomas Carder | Pharmacist | 703 Highway 31 E, Chandler, Texas, TX 75758 | 2020-10-06 |
| 1598382871 | Richard William Limehouse Jr. | Pharmacist | 703 Highway 31, Chandler, TX 75758 | 2020-07-02 |
| 1750932554 | Alisa Victoria Cook | Technician | 529 Pecos Dr, Chandler, TX 75758 | 2019-09-23 |
| 1962974469 | Nino Fuller | Nurse Practitioner | 23914 County Road 3313, Chandler, TX 75758 | 2018-12-20 |
| 1649700386 | Will Mayfield Dds, Pllc | Dentist | 216 Jones Street, Chandler, TX 75758 | 2017-06-15 |
| 1073960969 | Tamra Lynn Anderson | Registered Nurse | 803 Highway 31 E, Chandler, TX 75758 | 2016-05-20 |
| 1265837595 | Joe Spradley | Contractor | 2360 Hwy 315 S, Chandler, TX 75758 | 2014-10-29 |
| 1700125275 | East Texas Recovery | Substance Abuse Rehabilitation Facility | 700 State Hwy 31, Suite 100, Chandler, TX 75758 | 2013-02-04 |
| 1922266998 | Mary Margaret Brown | Physical Therapist | 321 Hwy 31e, Chandler, TX 75758 | 2008-05-27 |
| 1578754537 | Jeremy Ray Gregory | Specialist/Technologist | 405 S Broad St, Chandler, TX 75758 | 2007-08-06 |
| Find all providers in zip 75758 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245626704 | Michael Platt | Radiology | 15 W Nottingham Ln, Rogers, AR 72758-9513 | 2015-04-11 |
| 1770525594 | Rondall Kevin Haney | Radiology | 5433 Walsh Lane, Rogers, AR 72758 | 2006-06-13 |
| 1972568475 | Professional Radiology Services, Pa | Radiology | 302 N 8th St, Suite 3, Rogers, AR 72756-3738 | 2006-04-18 |
| 1639498512 | Andrea Nichole Placzek | Radiology | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2010-05-18 |
| 1598992141 | Todd Lee Mapes | Radiology | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2009-06-22 |
| 1396987731 | Andrew Gordon West | Radiology | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2009-03-31 |
| 1962674911 | Pinnacle Radiology Pllc | Radiology | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2008-03-31 |
| 1033206735 | Phillip Ryan Hill | Radiology | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2006-10-06 |
| 1073604559 | Aaron Francis Woodward | Radiology | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2006-09-27 |
| 1245295443 | John Keith Hedgecock | Radiology | 2710 Rife Medical Lane, Rogers, AR 72758-1452 | 2006-04-19 |
| Find all providers in ROGERS | ||||
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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.