DR. STANLEY WAYNE BURLESON (NPI# 1295839397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295839397 |
| Entity Type | Individual |
| Full Name | DR. STANLEY WAYNE BURLESON |
| Credential | MD |
| Practice Address |
705 W 16th St Dewitt AR 72042 |
| Mailing Address |
Po Box 352 Dewitt AR 72042 |
| Practice Telephone | 8709461326 |
| Practice Fax Number | 8709464335 |
| Mailing Telephone | 8709461326 |
| Mailing Fax Number | 8709464335 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C-5377 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PUAL CHOICE | 14220000000 | 01 | |
| UNITED HEALTHCARE | M038602 | 01 |
| Street Address |
705 W 16TH ST |
| City | DEWITT |
| State | AR |
| Zip Code | 72042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770796401 | Randall S Hestir Dds Inc | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2007-05-08 |
| 1013076397 | James Douglas Allen | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2006-12-06 |
| 1780754036 | Randall S Hestir | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2006-11-08 |
| 1710207808 | Suzette Nicole Boyd | Nurse Practitioner | 1641 South Whitehead Drive, Dewitt, AR 72042-0000 | 2010-06-11 |
| 1992714992 | Evergreene Properties of North Carolina,llc | Skilled Nursing Facility | 1325 Liberty Drive, Dewitt, AR 72042-0589 | 2006-08-07 |
| 1225328511 | Dewitt School District | Local Education Agency (LEA) | 422 W 1st St, De Witt, AR 72042-1906 | 2011-04-08 |
| 1629376173 | Tiffany N Mcpherson | Counselor | 108 S Jefferson St, De Witt, AR 72042-1929 | 2011-03-08 |
| 1376793406 | Dana's House, Inc. | Foster Care Agency | 108 S Jefferson St, De Witt, AR 72042-1929 | 2008-09-25 |
| 1164550760 | Markallen Behavioral Health System, Inc. | Counselor | 108 S Jefferson St, Dewitt, AR 72042-1929 | 2007-03-02 |
| 1962553404 | Tommys Rexall Drug Company Inc. | Pharmacy | 220 Court Sq, Dewitt, AR 72042-2057 | 2007-01-12 |
| Find all providers in zip 72042 | ||||
| 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 |
|---|---|---|---|---|
| 1760640940 | Muhammad Salman Rais | Family Medicine | 13811 Myrtle Dr, Dewitt, MI 48820-8509 | 2008-05-24 |
| 1134239064 | Michael Charles Liddell | Family Medicine | 13105 Schavey Rd Ste 4, Dewitt, MI 48820-9014 | 2006-08-30 |
| 1356398820 | Janis Marie Rygwelski | Family Medicine | 124 E Washington St, Suite G, Dewitt, MI 48820-8826 | 2006-05-28 |
| 1821041013 | Edward W. Sparrow Hospital Association | Family Medicine | 13191 Schavey Rd, Suite 3, Dewitt, MI 48820-9036 | 2006-05-18 |
| 1568787828 | Michael C Liddell Do Pllc | Family Medicine | 13105 Schavey Rd Ste 4, Dewitt, MI 48820-9014 | 2010-03-30 |
| 1336219997 | Thomas J Chiambretti | Family Medicine | 12970 S Us Highway 27, Dewitt, MI 48820-7956 | 2006-11-09 |
| 1104918861 | Beinaz Menagi | Family Medicine | 13191 Schavey Rd, Suite 3, Dewitt, MI 48820-9036 | 2006-09-29 |
| 1861583718 | Anthony John Holowko | Family Medicine | 13191 Schavey Rd, Suite 3, Dewitt, MI 48820-9036 | 2006-09-27 |
| 1932209434 | Peter Timothy Graham | Family Medicine | 13191 Schavey Rd, Suite 3, Dewitt, MI 48820-9036 | 2006-09-24 |
| 1295830792 | Susan Caldwell | Family Medicine | 13191 Schavey Rd, Suite 3, Dewitt, MI 48820-9036 | 2006-09-13 |
| Find all providers in DEWITT | ||||
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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.