JESSICA SHORT (NPI# 1386868545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386868545 |
| Entity Type | Individual |
| Full Name | JESSICA SHORT |
| Credential | MD |
| Practice Address |
688 E Millsap Rd Fayetteville AR 72703-4095 |
| Mailing Address |
Po Box 550 Lowell AR 72745-0550 |
| Practice Telephone | 4794633070 |
| Practice Fax Number | 4794633077 |
| Mailing Telephone | 4794637775 |
| Mailing Fax Number | 4794637187 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
E-5421 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 440106901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184079501 | Jessica Short | Community Health Worker | 8355 Burns Ave, Cincinnati, OH 45216 | 2016-05-04 |
| 1285895375 | Jessica E. Short | Dietitian, Registered | 780 Commercial St Se Ste 305, Salem, OR 97301 | 2008-06-20 |
| 1043747074 | Jessica Short | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2017-05-22 |
| 1851634562 | Jessica Michaelle Short | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2013-04-01 |
| Street Address |
688 E MILLSAP RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770683641 | Allison M Johnson | Internal Medicine | 688 E Millsap Rd, Suite 100, Fayetteville, AR 72703-4095 | 2006-09-22 |
| 1265885966 | Kristen Davidson | Nurse Practitioner | 688 E Millsap Rd, Suite 100, Fayetteville, AR 72703-4095 | 2016-07-18 |
| 1740655463 | Brittney Sharp | Dietitian, Registered | 688 E Millsap Rd, Suite 100, Fayetteville, AR 72703-4095 | 2015-12-07 |
| 1538554027 | Lauryn Brannon | Dietitian, Registered | 688 E Millsap Rd, Suite 100, Fayetteville, AR 72703-4095 | 2015-04-01 |
| 1770846826 | Washington Regional Medical System | Internal Medicine | 688 E Millsap Rd, Fayetteville, AR 72703-4095 | 2012-06-22 |
| 1568686723 | Roy Chapman Sampson | Internal Medicine | 688 E Millsap Rd, Fayetteville, AR 72703-4095 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528419744 | American Arthritis & Rheumatology Associates-nc Pllc | Internal Medicine | 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3753 | 2016-06-29 |
| 1326332461 | Washington Regional Medical System | Internal Medicine | 3336 N Futrall Dr, Fayetteville, AR 72703-4057 | 2011-06-07 |
| 1821222571 | Carolina Rheumatology & Internal Medicine, Pa | Internal Medicine | 2356 John Smith Rd, Suite 101, Fayetteville, NC 28306-2618 | 2009-05-11 |
| 1891997458 | Sanjay Garg | Internal Medicine | 2356 John Smith Rd, Suite 101, Fayetteville, NC 28306-2618 | 2007-06-04 |
| 1821203233 | Song Zang | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2007-05-11 |
| 1568686723 | Roy Chapman Sampson | Internal Medicine | 688 E Millsap Rd, Fayetteville, AR 72703-4095 | 2007-04-12 |
| 1780697326 | Gwenesta Barnum Melton | Internal Medicine | 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3753 | 2006-08-14 |
| 1770519670 | Thomas R Dykman | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463902 | Kyle Kreulen | Internal Medicine | 3714 Grand Oaks Dr, Benton, AR 72019-2045 | 2019-02-14 |
| 1982181608 | Chi Arthritis & Rheumatology Associates, Pllc | Internal Medicine | 3333 Springhill Dr Ste 2040, North Little Rock, AR 72117-2922 | 2018-07-25 |
| 1396280780 | Arthritis and Rheumatism Associates LLC | Internal Medicine | 2231 Hillpark Cove, Jonesboro, AR 72401 | 2016-12-21 |
| 1487081469 | Johnson Regional Medical Center Specialty Physicians | Internal Medicine | 1000 E Poplar St, Clarksville, AR 72830-4402 | 2013-10-04 |
| 1740450352 | Baxter County Regional Hospital Inc. | Internal Medicine | 310 Buttercup Dr, Suite C, Mountain Home, AR 72653-2921 | 2008-03-11 |
| 1205018306 | Donald G Leonard Md Rheumatology Clinic Pa | Internal Medicine | 3 Office Park Dr, Suite 100, Little Rock, AR 72211-3843 | 2007-11-29 |
| 1437373388 | Arthritis Associates of Northwest Arkansas | Internal Medicine | 601 West Maple Ave, Ste 403, Springdale, AR 72764 | 2007-04-12 |
| 1285719146 | Baxter County Regional Hospital | Internal Medicine | 310 Buttercup Dr Ste C, Mountain Home, AR 72653-2932 | 2006-10-26 |
| 1497783757 | Richard W Houk | Internal Medicine | 9101 Kanis Rd Ste 200, Little Rock, AR 72205-6455 | 2006-06-28 |
| 1083670749 | Beata Filip-majewski | Internal Medicine | 2231 Hill Park Cove, Jonesboro, AR 72401 | 2006-04-21 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.