KENNETH R MEACHAM (NPI# 1407801707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407801707 |
| Entity Type | Individual |
| Full Name | KENNETH R MEACHAM |
| Credential | M.D. |
| Practice Address |
101 Skyline Dr Russellville AR 72801-3363 |
| Practice Telephone | 4794986583 |
| Practice Fax Number | 4794986585 |
| Mailing Telephone | 4794986583 |
| Mailing Fax Number | 4794986585 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | C4297 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 106516001 | 05 |
| Street Address |
101 SKYLINE DR |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971140 | Carl I Schoenberger | Internal Medicine | 101 Skyline Dr, Russellville, AR 72801-3363 | 2005-06-13 |
| 1912486648 | Kendra Leann Hubbard | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2018-08-13 |
| 1790286904 | Brittany Lasha Burris | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2018-02-22 |
| 1891294443 | Ashley Nicole Baker | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2018-02-09 |
| 1508233701 | Sparta Corp | Family Medicine | 101 Skyline Dr, Russellville, AR 72801-3363 | 2015-08-24 |
| 1467835611 | Keena Melton | Registered Nurse | 101 Skyline Dr, Russellville, AR 72801-3363 | 2015-07-07 |
| 1194144964 | Noma Wilkinson Kellner | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2014-04-09 |
| 1992049241 | Sarah Minoo Azami | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2012-11-26 |
| 1629336078 | Jonathan David Brixey | Internal Medicine | 101 Skyline Dr, Russellville, AR 72801-3363 | 2012-04-23 |
| 1629343868 | Kelly A Traylor | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2012-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427252253 | Shoals Urological Associates PC | Urology | 607 Gandy St Ne, Russellville, AL 35653-1911 | 2007-06-14 |
| 1437246147 | Charles H Brown | Urology | 2501 West Main Street, Russellville, AR 72801 | 2006-10-06 |
| 1922178938 | Urology Clinic Pa | Urology | 2301 W Main St, Russellville, AR 72801 | 2006-11-08 |
| 1780628321 | Robert A Bell | Urology | 2301 W Main St, Russellville, AR 72801 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295259406 | Bruno Lopes Cancado Machado | Urology | 4301 W Markham St Ste 540, Little Rock, AR 72205-7101 | 2017-07-29 |
| 1093242000 | Baxter County Regional Hospital Inc | Urology | 628 Hospital Dr Ste 2b, Mountain Home, AR 72653-2953 | 2017-05-22 |
| 1730575432 | Renee Powell Warford | Urology | 1 Mercy Ln Ste 200a, Hot Springs, AR 71913-6457 | 2015-04-09 |
| 1215370861 | Nathan R Littlejohn | Urology | 1662 Higdon Ferry Rd Ste 140, Hot Springs, AR 71913 | 2013-04-14 |
| 1366739971 | Gerald Mark Heulitt | Urology | 4200 Stockton Dr, North Little Rock, AR 72117-2915 | 2011-07-03 |
| 1487972527 | Rudolph Noah Bowens Jr. | Urology | 303 E Matthews Ave Ste 100, Jonesboro, AR 72401-3113 | 2010-05-13 |
| 1982838488 | Robert Teryl Brooks Jr. | Urology | 4611 Stevens Dr, Pine Bluff, AR 71603-7303 | 2009-05-12 |
| 1255578894 | Alina Mielnick, Md, Pa | Urology | 601 Bd Highway 71 North, Mena, AR 71953-4394 | 2009-01-20 |
| 1225297260 | Diana Kay Braziel | Urology | 3400 Se Macy Road, Suite 18, Bentonville, AR 72712 | 2008-06-05 |
| 1437348745 | Enoch Walden Williams | Urology | 3817 S Culberhouse Rd, Jonesboro, AR 72404-9067 | 2007-10-23 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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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.