MR. GARY WASHAM


Address: 300 S Shackleford Rd, Little Rock, AR 72211-5725
Phone: 5019180589

MR. GARY WASHAM (NPI# 1336613215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336613215
Entity Type Individual
Full Name MR. GARY WASHAM
Credential FNP-C
Practice Address 300 S Shackleford Rd
Little Rock
AR 72211-5725
Mailing Address 3 Arnold Palmer Dr
Maumelle
AR 72113-6401
Practice Telephone 5019180589
Mailing Telephone 5013513299
Enumeration Date 2019-01-14
Last Update Date 2019-01-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
A006024 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 S SHACKLEFORD RD
City LITTLE ROCK
State AR
Zip Code 72211-5725

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780095323 Mahreen Arshad Internal Medicine 300 S Shackleford Rd, Little Rock, AR 72211 2014-05-16
1780151738 Arkansas Pain Care Clinics, Pa Internal Medicine 300 S Shackleford Rd, Little Rock, AR 72211-5725 2018-10-29
1396241097 Arkansas Pain Care Clinics, Pa Internal Medicine 300 S Shackleford Rd, Little Rock, AR 72211-5725 2018-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
Find all providers in zip 72211

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861003196 Allison Mcpeak Nurse Practitioner 10800 Financial Centre Pkwy Ste 380, Little Rock, AR 72211-3508 2020-08-11
1316556632 Pamela Volner Nurse Practitioner 4 Shackleford Plz Ste 202, Little Rock, AR 72211-1844 2020-07-23
1528676764 Katherine Dunigan Nurse Practitioner 11 White Oak Ln, Little Rock, AR 72207-2549 2020-07-14
1679198287 Marilyn Anne Johnson-mcfarland Nurse Practitioner 1 Saint Vincent Cir Ste 440, Little Rock, AR 72205-5492 2020-06-09
1174160089 Natalie Cobb Nurse Practitioner 10 Courts Dr, Little Rock, AR 72223-9021 2019-12-10
1609410232 Rachel Nicole Mccrary Nurse Practitioner 108 N Shackleford Rd, Little Rock, AR 72211-2840 2019-11-06
1093361347 Whitney Lashell Johnson Nurse Practitioner 15 Stonebridge Cir Apt 1536, Little Rock, AR 72223-4550 2019-08-13
1780230375 Krystal Collins Nurse Practitioner 9800 Baptist Health Dr Ste 600, Little Rock, AR 72205-6244 2019-08-10
1659932994 Judith Chinwe Spencer-cole Nurse Practitioner 2 Waters Edge Dr, Little Rock, AR 72204-8645 2019-06-27
1063971935 Sara Mannis Nurse Practitioner 1816 Gamble Rd, Little Rock, AR 72211-4196 2019-03-19
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72211

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Dataset Information

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.

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