LEE O'BANION (NPI# 1356580252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356580252 |
Entity Type | Individual |
Full Name | LEE O'BANION |
Credential | ST ASSISTANT |
Practice Address |
707 Eldridge Ave E Wynne AR 72396-4032 |
Practice Telephone | 8702088989 |
Practice Fax Number | 8702088107 |
Mailing Telephone | 8702088989 |
Mailing Fax Number | 8702088107 |
Enumeration Date | 2009-02-17 |
Last Update Date | 2009-02-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
Street Address |
707 ELDRIDGE AVE E |
City | WYNNE |
State | AR |
Zip Code | 72396-4032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518011782 | Maryangelia Hoffpauir | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2007-01-23 |
1740729748 | Kassi Talbot | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2017-02-23 |
1497294409 | Amanda Green | Speech-Language Pathologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2017-02-23 |
1063816049 | Jacob Towell | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2014-10-20 |
1881994804 | Raymond Gerrity | Occupational Therapy Assistant | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2010-10-25 |
1124259304 | Brina Bailey | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-08-05 |
1346481942 | Allison Breck Birdsong | Speech-Language Pathologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-03-12 |
1780821066 | Guy Biggs | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-01-08 |
1639321300 | Marci Suzanne Langston | Specialist/Technologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2008-10-14 |
1083864649 | Idumange T. Idumange | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2008-09-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
Find all providers in zip 72396 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639321300 | Marci Suzanne Langston | Specialist/Technologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2008-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
1205475639 | Kayla Marie Riddle | Specialist/Technologist | 2700 N Prickett Rd Ste 2b, Bryant, AR 72022-7511 | 2020-01-02 |
1417590993 | Skylar Baker | Specialist/Technologist | 212 Scoby Dr, Warren, AR 71671-2050 | 2019-10-28 |
1669025045 | Alexis Davis | Specialist/Technologist | 185 Cornerstone Blvd, Hot Springs, AR 71913-6500 | 2019-07-24 |
1730646753 | Abigail Kathryn Arterbury | Specialist/Technologist | 3010 Highway 22 E Ste A, Branch, AR 72928-9648 | 2019-02-26 |
1568939700 | Rachel Ann Clayton | Specialist/Technologist | 735 Robin St, Camden, AR 71701-6834 | 2018-10-25 |
1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
1336636000 | Ashley Napurano | Specialist/Technologist | 9505 Chad Colley Blvd Apt 3407, Fort Smith, AR 72916-5821 | 2018-04-18 |
1285146142 | Shelby Michelle Petersen | Specialist/Technologist | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2017-11-01 |
1578087763 | Shane Worthington | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2017-07-28 |
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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.