CHARLES ALAN WARDLAW (NPI# 1316474885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316474885 |
| Entity Type | Individual |
| Full Name | CHARLES ALAN WARDLAW |
| Credential | ATC |
| Practice Address |
100 W Holly Rd Junction City AR 71749-9031 |
| Mailing Address |
Po Box 269 Junction City AR 71749-0269 |
| Practice Telephone | 8709244575 |
| Mailing Telephone | 8704034648 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
694 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 W HOLLY RD |
| City | JUNCTION CITY |
| State | AR |
| Zip Code | 71749-9031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689070302 | Katey Sehon | Occupational Therapist | 100 W Holly Rd, Junction City, AR 71749-9031 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093132409 | Renee Nicole Farag | Contractor | 171 Cow Lane, Junction City, AR 71749 | 2014-03-24 |
| 1790968212 | Sarah Ochs | Speech-Language Pathologist | 402 North Myrtle Street, Junction City, AR 71749 | 2007-12-06 |
| 1003943770 | Junction City Pharmacy | Pharmacy | 119 Main, Junction City, AR 71749 | 2007-02-28 |
| 1710194170 | City of Junction City | Ambulance | 207 North Main Street, Junction City, AR 71749-0787 | 2007-05-16 |
| 1083888556 | Jean Alison Burson | Speech-Language Pathologist | 100 West Holly Street, Junction City, AR 71749-0790 | 2008-04-16 |
| 1861569519 | Junction City School | Registered Nurse | 100 West Holly, Junction City, AR 71749-0790 | 2006-11-29 |
| 1093254781 | Chelsi Mckinney | Occupational Therapy Assistant | 467 Mount Willie Rd, Junction City, AR 71749-9030 | 2017-02-15 |
| 1013380930 | Tammy Jerry | Counselor | 1070 W Stateline Rd, Junction City, AR 71749-9430 | 2015-11-02 |
| 1144539230 | Lori Alicia Davis | Speech-Language Pathologist | 149 Woodland Dr, Junction City, AR 71749-9505 | 2010-10-06 |
| 1073004149 | Heather Graves | Family Medicine | 500 N Main St, Junction City, AR 71749-9597 | 2018-05-24 |
| Find all providers in zip 71749 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246466 | Haley Forte | Specialist/Technologist | 408 Walnut Street, Junction City, OR 97448 | 2020-02-04 |
| 1699315184 | Tyler J. Rauschert | Specialist/Technologist | 1135 W 6th Ave, Junction City, OR 97448-1099 | 2020-01-13 |
| 1588121800 | Nicholas Steven Dombrowski | Specialist/Technologist | 3718 Brookfield Dr, Junction City, KS 66441-8200 | 2019-02-22 |
| 1316431760 | Brandon Michael Martino | Specialist/Technologist | 900 N Eisenhower Dr, Junction City, KS 66441-2018 | 2018-06-19 |
| 1144722364 | Lianne Steinmetz | Specialist/Technologist | 1345 Vine Ct, Junction City, OR 97448-1102 | 2018-03-03 |
| 1194263301 | Andrew Steven Krugler | Specialist/Technologist | 2425 Lake Rd, Junction City, WI 54443-9691 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953533 | Sierra Paige Marsh | Specialist/Technologist | 909 S Booth Rd, Searcy, AR 72143-9354 | 2020-08-19 |
| 1912518119 | Kayla Johnson | Specialist/Technologist | 410 Ouachita St Rm 202, Arkadelphia, AR 71998-0001 | 2020-08-11 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1013538925 | Josh Dyre Lammers | Specialist/Technologist | 163h E Hwy 18, Blytheville, AR 72315-8937 | 2020-05-01 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1093336323 | Nick Lee Haywood | Specialist/Technologist | 1900 Mcnatt Dr Apt 16, Brookland, AR 72417-9024 | 2020-04-28 |
| 1780205195 | Tayler Estrada | Specialist/Technologist | 113 Nw Yukon Trail St, Bentonville, AR 72712-5013 | 2020-04-27 |
| 1619502531 | Angelina Marconi | Specialist/Technologist | 410 Charleston Cv, Marion, AR 72364-2673 | 2020-03-11 |
| 1508496191 | Savannah Deann Hart | Specialist/Technologist | 265 County Road 2168, Hartman, AR 72840-8809 | 2020-01-22 |
| 1144850967 | Victoria Lynn Rollins | Specialist/Technologist | 8 Christopher Dr, Sherwood, AR 72120-4010 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
| City | JUNCTION CITY |
| Zip Code | 71749 |
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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.