DOCTORS HEALTH GROUP, INC. (NPI# 1306366885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306366885 |
| Entity Type | Organization |
| Organization Name | DOCTORS HEALTH GROUP, INC. |
| Other Organization Name | ST. BERNARDS DERMATOLOGY |
| Practice Address |
800 S Church St Ste 203 Jonesboro AR 72401-4106 |
| Mailing Address |
Po Box 1331 Jonesboro AR 72403-1331 |
| Practice Telephone | 8709341462 |
| Practice Fax Number | 8709325699 |
| Mailing Telephone | (870) 932-7024 |
| Mailing Fax Number | 8709309377 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | MR. JOHN LIEBLONG (PRESIDENT) |
| Authorized Official Telephone | 8709327024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Bernards Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972054146 | Doctors Health Group, Inc. | Family Medicine | 1300 Industrial Park Dr, Trumann, AR 72472-9702 | 2016-10-21 |
| 1144629445 | Doctors Health Group, Inc. | Family Medicine | 21110 Hwy 18 East, Monette, AR 72447-9010 | 2014-08-22 |
| 1861519944 | Doctors Health Group, Inc. | Clinic/Center | 807 E 9th St, Rector, AR 72461-2406 | 2007-03-23 |
| Street Address |
800 S CHURCH ST STE 203 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669776860 | Aric Wade Simmons | Nurse Practitioner | 800 S Church St Ste 203, Jonesboro, AR 72401-4106 | 2011-01-02 |
| 1053650945 | Meredith Harrison Brewer | Physician Assistant | 800 S Church St Ste 203, Jonesboro, AR 72401 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710229141 | Mallory Hurst | Dermatology | 800 S Church St Ste 202, Jonesboro, AR 72401 | 2013-03-24 |
| 1922114974 | Sareeta S. Parker | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2006-08-22 |
| 1790751444 | David Howard Weingold | Dermatology | 4334 E Highland Dr, Jonesboro, AR 72401-6621 | 2006-02-23 |
| 1770932550 | Sills Dermatology, Pllc | Dermatology | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2016-06-12 |
| 1023262185 | Livia Van | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2008-11-14 |
| 1891954459 | Dionne Denise Louis | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2008-06-08 |
| 1871651182 | Florence M Humphrey | Dermatology | Department of Dermatology, 2470 Mount Zion Parkway, Jonesboro, GA 30236 | 2006-12-05 |
| 1699841304 | Rena L Keeby | Dermatology | 2470 Mount Zion Parkway, Department of Dermatology, Jonesboro, GA 30236 | 2006-11-27 |
| 1790851673 | Kenya H Anders | Dermatology | 2470 Mount Zion Parkway, Department of Dermatology, Jonesboro, GA 30236 | 2006-11-24 |
| 1952326951 | Adam Ashley Sills | Dermatology | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2006-07-12 |
| Find all providers in JONESBORO | ||||
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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.