EAST ARKANSAS FAMILY HEALTH CENTER (NPI# 1366608895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366608895 |
| Entity Type | Organization |
| Organization Name | EAST ARKANSAS FAMILY HEALTH CENTER |
| Practice Address |
102 W Broad St Lepanto AR 72354-2200 |
| Mailing Address |
215 E Bond Ave West Memphis AR 72301-3550 |
| Practice Telephone | 8707353842 |
| Practice Fax Number | 8707321940 |
| Mailing Telephone | 8707353842 |
| Mailing Fax Number | 8707321940 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | SUSAN WARD-JONES (CEO) |
| Authorized Official Telephone | 8707353842 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 122837749 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001865 | East Arkansas Family Health Center | Preferred Provider Organization | 513 Porter St, Helena, AR 72342-3217 | 2016-09-14 |
| Street Address |
102 W BROAD ST |
| City | LEPANTO |
| State | AR |
| Zip Code | 72354-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225373749 | Joseph Daniel Mcguinness | Physician Assistant | 102 W Broad St, Lepanto, AR 72354-2200 | 2012-12-10 |
| 1538444252 | Mike Miller | Pharmacist | 102 W Broad St, Lepanto, AR 72354-2200 | 2011-10-13 |
| 1114994035 | Kristi Renee Allen | Nurse Practitioner | 102 W Broad St, Lepanto, AR 72354-2200 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992298756 | Hannah Nicole Tyler | Case Manager/Care Coordinator | 122 Will Henry Dr., Lepanto, AR 72354 | 2018-06-07 |
| 1295952182 | East Arkansas Family Health Center Inc. | Pharmacy | 102 W Broad, Lepanto, AR 72354 | 2007-04-20 |
| 1922139062 | East Arkansas Family Health Center Inc. | Clinic/Center | 102 West Broad, Lepanto, AR 72354 | 2007-03-08 |
| 1265568745 | Jones Drug Store | Pharmacy | 216 Greenwood Ave South, Lepanto, AR 72354 | 2007-02-26 |
| 1316041957 | T W Wagner Inc | Clinic/Center | 331 Broad Street, Suite B, Lepanto, AR 72354 | 2006-09-12 |
| 1053528778 | Lisa J Booker | Nurse Practitioner | 260 West Broad Street, Lepanto, AR 72354-0000 | 2007-05-16 |
| 1902885015 | Sumner R Cullom | General Practice | 260 W Broad St, Lepanto, AR 72354-0723 | 2006-01-17 |
| 1447626759 | Elite Pain Management, LLC | Pain Medicine | 331 W Broad St, Lepanto, AR 72354-2202 | 2015-08-20 |
| 1366594285 | East Poinsett County Schools | Local Education Agency (LEA) | 502 Mcclellan St, Lepanto, AR 72354-2424 | 2007-01-18 |
| 1023171808 | Cynthia A Landry | Dentist | 503 Mcclellan St, Lepanto, AR 72354-2425 | 2006-12-19 |
| Find all providers in zip 72354 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023171808 | Cynthia A Landry | Dentist | 503 Mcclellan St, Lepanto, AR 72354-2425 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743352 | Varsha Patel | Dentist | 130 Harkrider St, Conway, AR 72032-6623 | 2020-09-04 |
| 1174132914 | John S Teed | Dentist | 800 Vista Cv, Marion, AR 72364-9704 | 2020-07-28 |
| 1891303509 | Brandt Thomas Cooper | Dentist | 1685 Airport Rd, Hot Springs, AR 71913-7951 | 2020-07-20 |
| 1174141667 | Anslee Latourette | Dentist | 8239 Rogers Ave, Fort Smith, AR 72903-5553 | 2020-07-10 |
| 1073139960 | Leona C. Kemper, Dds, Pa | Dentist | 6189 Heber Springs Rd West, Quitman, AR 72131 | 2020-06-17 |
| 1225652670 | David Barry Riggs | Dentist | 800 Locust Ave, Conway, AR 72034-5331 | 2020-06-02 |
| 1497378137 | Evgeny Titov | Dentist | 2501 Market Trce Ste A, Fort Smith, AR 72908-8881 | 2020-05-28 |
| 1306469382 | Phipps Family Dentistry | Dentist | 807 W Centerton Blvd, Centerton, AR 72719-9705 | 2020-05-25 |
| 1831711910 | Brian Lane D D S Pa | Dentist | 17 Eagle Park Dr, Vilonia, AR 72173-9050 | 2020-05-12 |
| 1215557897 | Wh Ar Dental Pllc | Dentist | 4870 Elm Springs Rd Ste B, Springdale, AR 72762-3749 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.