PAYTON RAE RANSOM (NPI# 1386242899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386242899 |
| Entity Type | Individual |
| Full Name | PAYTON RAE RANSOM |
| Credential | PA |
| Practice Address |
800 Fair Park Blvd Little Rock AR 72204-1720 |
| Practice Telephone | 5014048007 |
| Practice Fax Number | 5017773519 |
| Mailing Telephone | 5014048007 |
| Mailing Fax Number | 5017773519 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-934 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 FAIR PARK BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606933 | Jay M Lipke | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2005-08-17 |
| 1679173645 | Tristan Jenkins | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-29 |
| 1942825476 | Bryce Bossin | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-06-10 |
| 1922658566 | Victoria Caples | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-09-16 |
| 1457818353 | Kala Carol Hart | Nurse Practitioner | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-27 |
| 1023575420 | Faith Marquardt | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-22 |
| 1346706892 | Christopher Allen Brynell | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-20 |
| 1043776099 | Lauren Abigail Rainwater | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-14 |
| 1073080255 | John Joseph Head | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2018-10-25 |
| 1619471885 | Maggie J Brown | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417455817 | Kaitlyn Marie Rauwerdink | Physician Assistant | 2 Saint Vincent Cir Fl 6, Little Rock, AR 72205-5423 | 2018-01-31 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1811401318 | Rachel Neal | Physician Assistant | 4220 N Rodney Parham Rd Ste 230, Little Rock, AR 72212-2457 | 2017-11-21 |
| 1538610316 | Sharonda Smarjesse | Physician Assistant | 801 S Bowman Rd Ste 4, Little Rock, AR 72211-3427 | 2016-10-17 |
| 1326449182 | Caitlin Anne Andryka | Physician Assistant | 6 Shackleford Dr, Little Rock, AR 72211-2858 | 2014-09-11 |
| 1457690414 | Rachel Dyan Golden | Physician Assistant | 9200 Cloverhill Rd, Little Rock, AR 72205-4615 | 2013-02-11 |
| 1477738342 | Stephanie Gail Barnes | Physician Assistant | 2 St Vincent Circle, Little Rock, AR 72205 | 2008-01-09 |
| 1477517217 | Christian C Perry | Physician Assistant | #5 St Vincent Circle, Suite 100, Little Rock, AR 72205 | 2006-04-17 |
| 1013540657 | Ashley Gershner | Physician Assistant | 5320 W Markham St, Little Rock, AR 72205-3528 | 2020-02-21 |
| 1265095277 | Summer Lynn Mojica | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2019-04-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.