HEALTHSTAT ARKANSAS/PACE IND- HARRISON (NPI# 1457601007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457601007 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ARKANSAS/PACE IND- HARRISON |
| Practice Address |
513 Hwy 62/65 Bypass North Harrison AR 72602 |
| Mailing Address |
4651 Charlotte Park Dr. Suite 300 Charlotte NC 28217 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
513 HWY 62/65 BYPASS NORTH |
| City | HARRISON |
| State | AR |
| Zip Code | 72602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759560 | Marcy Mullins | Homemaker | 10475 Edgewood Rd, Harrison, OH 45030-1755 | 2020-10-28 |
| 1508466814 | Betsy Michelle Ulicki | Social Worker | 5787 Ball Ave, Harrison, MI 48625-9385 | 2020-10-27 |
| 1487253340 | Shannon Worden | Behavior Technician | 4246 Jeffery Rd, Harrison, MI 48625-8689 | 2020-10-21 |
| 1083213102 | Paige Conner Malick | Physician Assistant | 33 Purdy St Apt 2, Harrison, NY 10528-3735 | 2020-10-20 |
| 1710585856 | Frank A Brooks IIi Dds Pa | Clinic/Center | 2102 First National Dr, Harrison, AR 72601-6234 | 2020-10-12 |
| 1750989018 | Edith P Ward | Physical Therapist | 8618 Highway 58 Ste 108, Harrison, TN 37341-4008 | 2020-10-09 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| 1962018937 | Angela Claire Schiz | Dietetic Technician, Registered | Balance 3h Plus Medical Weight Loss Center, 450 Mamaroneck Ave Suite #413, Harrison, NY 10528 | 2020-09-16 |
| 1598382814 | Caroline Elyse Newland | Occupational Therapist | 5841 Fort Henry Dr, Harrison, TN 37341-9416 | 2020-07-02 |
| 1437776762 | Elyse Newland, Pllc | Occupational Therapist | 5841 Fort Henry Drive, Harrison, TN 37341-9416 | 2020-07-02 |
| Find all providers in HARRISON | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235640384 | Healthstat Onsite Clinic Hsm Fort Smith | Preventive Medicine | 4925 State Line Rd, Fort Smith, AR 72916-4145 | 2017-10-17 |
| 1154449809 | Janan R. Lane | Preventive Medicine | 3721 E Us 412 Hwy, Ste C, Siloam Springs, AR 72761 | 2007-03-27 |
| 1649365651 | Scott W.f. Carle | Preventive Medicine | 10101 Mabelvale Plaza, Ste 3, Little Rock, AR 72205 | 2006-10-04 |
| 1124493523 | Healthstat Onsite Clinic Abcbs Riverfront | Preventive Medicine | 401 W Capitol Ave, Little Rock, AR 72201-3421 | 2015-12-10 |
| 1295113959 | Healthstat Onsite Clinic Arkansas Children's Hospital | Preventive Medicine | 1919 W 12th St, Little Rock, AR 72202-4551 | 2015-05-14 |
| 1568725158 | Healthstat On-site Clinic/abcbs | Preventive Medicine | 401 W Capitol Ave, Suite 345, Little Rock, AR 72201-3421 | 2012-06-19 |
| 1639294820 | Jerry W Daniel | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1780709824 | Eric Holifield | Preventive Medicine | 10101 Mabelvale Plaza Dr Ste 3, Little Rock, AR 72209-5932 | 2007-03-20 |
| 1699890749 | Michelle J Ibsen | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1295793818 | Shirin Ramani Desilva | Preventive Medicine | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
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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.