DR. MARK R. RUCKER (NPI# 1417908401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417908401 |
| Entity Type | Individual |
| Full Name | DR. MARK R. RUCKER |
| Credential | MD |
| Practice Address |
6642 Wells Circle Springdale AR 72762 |
| Practice Telephone | 4794097366 |
| Mailing Telephone | 4794097366 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E-0609 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 1315552001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023666773 | Mark Rucker | Behavior Technician | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2019-08-27 |
| 1255740262 | Mark Rucker | Pharmacist | 2620 S Belt Hwy, Saint Joseph, MO 64503-1646 | 2014-08-05 |
| Street Address |
6642 WELLS CIRCLE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649632886 | Cesar Hurtado | Emergency Medicine | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 | 2016-03-26 |
| 1437356326 | Brian W Grantham | Emergency Medicine | 509 E Maple Ave, Springdale, AR 72764-5539 | 2007-07-02 |
| 1629599287 | Michelle Nicole Phillips | Emergency Medicine | 2601 Gene George Blvd, Springdale, AR 72762 | 2017-07-03 |
| 1720519812 | Jaquelyn Risa Wilansky | Emergency Medicine | 2158 Butterfield Coach Rd Ste 100, Springdale, AR 72764-9142 | 2017-03-21 |
| 1275957375 | South Central Hospitalists, LLP | Emergency Medicine | 609 W Maple Ave, Springdale, AR 72764-5335 | 2014-02-10 |
| 1104247881 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 1160 S 40th St, Springdale, AR 72762-4832 | 2013-12-23 |
| 1013350255 | Craig Anthony Sheedy | Emergency Medicine | 609 W Maple Ave, Springdale, AR 72764-5335 | 2013-04-08 |
| 1659660314 | Clinton Charles Turner | Emergency Medicine | 1109 S West End St, Springdale, AR 72764-5228 | 2011-04-04 |
| 1831400852 | Adam Baird Mccall | Emergency Medicine | 5501 Willow Creek Dr, Ste 104, Springdale, AR 72762 | 2010-06-24 |
| 1023247566 | Ernest Mcclinton | Emergency Medicine | 601 W Maple Ave, Suite 102, Springdale, AR 72764-5335 | 2009-07-06 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on DR. MARK R. RUCKER.
| 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.