DR. WILLIAM JACKSON WALDRIP III


Address: 1215 Sidney St, Suite 300, Batesville, AR 72501-7203
Phone: 8707931126

DR. WILLIAM JACKSON WALDRIP III (NPI# 1427044999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427044999
Entity Type Individual
Full Name DR. WILLIAM JACKSON WALDRIP III
Credential MD
Practice Address 1215 Sidney St
Suite 300
Batesville
AR 72501-7203
Practice Telephone 8707931126
Practice Fax Number 8707931180
Mailing Telephone 8707931126
Mailing Fax Number 8707931180
Enumeration Date 2005-09-21
Last Update Date 2010-06-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine C6686 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 110130001 05
QUALCHOICE 13302000000 01
AETNA 4381183 01

Office Location

Street Address 1215 SIDNEY ST
SUITE 300
City BATESVILLE
State AR
Zip Code 72501-7203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324796 Batesville Family Practice Clinic Pa Family Medicine 1215 Sidney St, Ste 300, Batesville, AR 72501-7201 2005-05-27
1154770436 White River Health System, Inc. Family Medicine 1215 Sidney St, Ste 300, Batesville, AR 72501-7203 2016-06-08
1720444334 North Arkansas Pain Managment Pa Pain Medicine 1215 Sidney St, Suite 200, Batesville, AR 72501-7203 2016-01-12
1215296322 Katherine Appleget Obstetrics & Gynecology 1215 Sidney St, Batesville, AR 72501-7203 2012-05-09
1336462712 Amanda S. Brock Nurse Practitioner 1215 Sidney St, Suite 202, Batesville, AR 72501-7203 2010-03-12
1841512969 Debra Michelle Brewer Clinical Nurse Specialist 1215 Sidney St, Suite 201, Batesville, AR 72501-7203 2010-02-16
1598096075 University of Arkansas for Medical Sciences Clinic/Center 1215 Sidney St, Suite 201, Batesville, AR 72501-7203 2010-01-22
1346441706 Jason R Knott Obstetrics & Gynecology 1215 Sidney St, Suite 202, Batesville, AR 72501-7203 2007-05-31
1851470371 White River Health System, Inc. Obstetrics & Gynecology 1215 Sidney St, Suite 202, Batesville, AR 72501-7203 2006-11-03
1699857987 Virginia Dearman Counselor 1215 Sidney St, Batesville, AR 72501-7203 2006-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689137234 Surya Boopathy Student in an Organized Health Care Education/Training Program White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 2019-04-10
1245792530 Shiyu Wang Student in an Organized Health Care Education/Training Program White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 2019-04-04
1023598828 Northeast Arkansas Community Mental Health Center Inc Community/Behavioral Health 16520 White Dr., Batesville, AR 72501 2018-08-21
1437655040 Bradely Stout Social Worker 1650 White Drive, Batesville, AR 72501 2018-04-03
1104342799 Bobbi Tosh Nurse Practitioner 413 Virginia Drive, Batesville, AR 72501 2017-08-16
1912457854 Melanie Ashleigh Brashers Occupational Therapy Assistant 1925 White Drive, Batesville, AR 72501 2016-10-04
1588112346 Chelli Pollet Developmental Therapist 1000 White Dr, Batesville, AR 72501 2016-09-21
1184170482 Taylor Mynatt Speech-Language Pathologist 1000 White Drive, Batesville, AR 72501 2016-08-28
1346626165 Edward Shaw Pharmacist 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 2015-08-04
1457770372 Stacy Pollack Obstetrics & Gynecology 1215 Sidney St Ste 202, Batesville, AR 72501 2014-04-08
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598128712 Timothy Austin Mcnamara Family Medicine 1993 Harrison St, Batesville, AR 72501-7309 2016-04-04
1881050334 White River Health System, Inc. Family Medicine 3000 Jennings Ln, Suite H, Batesville, AR 72501-7564 2016-01-13
1548504293 Batesville Hma Medical Group, LLC Family Medicine 568 Highway 6 E, Batesville, MS 38606-3002 2012-11-19
1730226655 Zbigniew Trojanowski Family Medicine 347 Curtis Ct, Batesville, IN 47006-6506 2007-01-31
1366517518 Verona T Brown Bebow Md Pa Family Medicine 1500 Lawrence St, Batesville, AR 72501-7620 2006-11-22
1245310838 John Andre Gryspeerdt Family Medicine 188 State Rd 229, Batesville, IN 47006 2006-10-17
1639259534 Henry Deck Stone Family Medicine 109 Park St, Batesville, MS 38606 2006-10-16
1255436549 Verona Tice Brown Family Medicine 413 Virginia Dr, Batesville, AR 72501-7329 2006-09-13
1992716377 Kimberly A Kick Family Medicine 256 State Road 129 S, Batesville, IN 47006-9236 2006-08-10
1457388266 John Robert Baker Family Medicine 409 Virginia Dr, Batesville, AR 72501-7329 2006-06-27
Find all providers in BATESVILLE

Competitor

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City BATESVILLE
Zip Code 72501

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Dataset Information

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.

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