CONWAY PAIN CLINIC, PLLC (NPI# 1457733057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457733057 |
| Entity Type | Organization |
| Organization Name | CONWAY PAIN CLINIC, PLLC |
| Practice Address |
2425 Prince St Suite 3 Conway AR 72034-3746 |
| Practice Telephone | 5013586560 |
| Practice Fax Number | 8776533202 |
| Mailing Telephone | 5013586560 |
| Mailing Fax Number | 8776533202 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | JEVIN ALLEN SMITH (ORGANIZER/ PRESIDENT) |
| Authorized Official Telephone | 5013276665 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MC3115 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
2425 PRINCE ST SUITE 3 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609855493 | Betsy Hendricks | General Practice | 2425 Prince St, Suite 3, Conway, AR 72034-3746 | 2006-01-11 |
| 1538498266 | Francis B Flanagin Dds Pa | Dentist | 2425 Prince St, Suite 5, Conway, AR 72034-3746 | 2009-12-08 |
| 1942536677 | Barry Don Quick | Dentist | 2425 Prince St, Suite 6, Conway, AR 72034-3746 | 2009-10-31 |
| 1841461274 | Arkansas Oral Surgery | Clinic/Center | 2425 Prince St, Suite 2, Conway, AR 72034-3746 | 2008-03-13 |
| 1346203395 | Donny Lynn Quick | Dentist | 2425 Prince St, Ste 2, Conway, AR 72034-3746 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447518840 | Daniel Thornton Judkins | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2012-04-24 |
| 1760927404 | Arkansas Health Group | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2017-01-05 |
| 1659737120 | Richard E Moore Medical Pa | Anesthesiology | 523 Harkrider St, Conway, AR 72032-5631 | 2016-01-13 |
| 1679831440 | Sheffield Kent | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2012-04-30 |
| 1508021569 | United Pain Care, Conway | Anesthesiology | 350 Salem Rd, Suite 6h, Conway, AR 72034-7525 | 2008-07-18 |
| 1841309952 | Richard Eugene Moore | Anesthesiology | 523 Harkrider St, Conway, AR 72032 | 2006-08-30 |
| 1871532820 | Ar Anesthesia & Pain Management P A | Anesthesiology | 1080 Pats Ln, Conway, AR 72032-4754 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879752 | Navdeep Dogra Md, Pllc | Anesthesiology | 1801 W 40th Ave Ste 2c, Pine Bluff, AR 71603-6957 | 2020-07-24 |
| 1548896798 | Arkansas Pain Centers Ltd | Anesthesiology | 1225 Breckenridge Dr Ste 106, Little Rock, AR 72205-1565 | 2020-03-19 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1952741233 | Aditi Saraswat | Anesthesiology | 30 Dundee Cv, Batesville, AR 72501-9777 | 2013-07-01 |
| 1942645205 | Andrew Gunter Cain | Anesthesiology | 9101 Kanis Rd Ste 150a, Little Rock, AR 72205-6456 | 2013-04-30 |
| 1861753709 | Nicholas Benjamin Camp | Anesthesiology | 2900 Medical Center Pkwy Ste 110, Bentonville, AR 72712-3212 | 2012-06-07 |
| 1598970782 | Ross E. Woody | Anesthesiology | 4323 Jefferson, Texarkana, AR 71854 | 2007-05-11 |
| 1699828186 | Brent R Weilert | Anesthesiology | 3336 North Futrall Drive, Fayetteville, AR 72703 | 2007-01-19 |
| 1780743732 | Interventional Pain Consultants, Pa | Anesthesiology | 5106 Mcclanahan Dr, Suite B, North Little Rock, AR 72116-7051 | 2006-12-06 |
| 1528078490 | William E Ackerman | Anesthesiology | 1701 Centerview Dr, Suite 200, Little Rock, AR 72211-4308 | 2006-08-09 |
| 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.