DR. RYAN SCOTT WADDELL (NPI# 1457813933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457813933 |
| Entity Type | Individual |
| Full Name | DR. RYAN SCOTT WADDELL |
| Credential | MD |
| Practice Address |
1 Childrens Way # 512-19a Little Rock AR 72202-3500 |
| Mailing Address |
15401 Chenal Pkwy Apt 1413 Little Rock AR 72211-2556 |
| Practice Telephone | 5013641874 |
| Mailing Telephone | 8703786209 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 W Markham St # 512-5b, Little Rock, AR 722057199 | 5015263580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063800704 | Ryan William Waddell | Chiropractor | 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 | 2015-01-05 |
| 1528232683 | Ryan Lloyd Waddell | Internal Medicine | 4619 Kanawha Ave Sw, Pulmonary Associates of Charleston, Charleston, WV 25309-1319 | 2008-04-18 |
| Street Address |
1 CHILDRENS WAY # 512-19A |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609260785 | Caitlin Stevens Cunningham | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2015-03-26 |
| 1770102519 | Taylor Collins Warden | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-04-12 |
| 1093344657 | Conor Harrison Smith | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-04-06 |
| 1255960910 | Haley Birch Taylor | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-04-05 |
| 1457980385 | Maria Angelica Serrano | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-04-03 |
| 1255960035 | Jacquelyn Michelle Pena | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-04-03 |
| 1356970438 | Susanna Horner | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-04-02 |
| 1720617863 | David Joseph Freeman | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-04-01 |
| 1073142113 | Ryan Wesley Steele | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-04-01 |
| 1205464476 | Jeremy Davis | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686571 | Prachi Saluja | Student in an Organized Health Care Education/Training Program | 2400 Riverfront Dr Apt 424, Little Rock, AR 72202-2219 | 2020-07-16 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1306460456 | Vidhu Vadini | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 634, University of Arkansas For, Little Rock, AR 77205 | 2020-06-04 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1336778950 | Duy Ha | Student in an Organized Health Care Education/Training Program | 1403 Kavanaugh Blvd, Little Rock, AR 72205-4323 | 2020-04-06 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1861021990 | Alexander Winslow Payne | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 552, Little Rock, AR 72205-7199 | 2020-04-01 |
| 1316575657 | Jonathan Colby Smith | Student in an Organized Health Care Education/Training Program | 4301 W Markham, Slot 602, Little Rock, AR 72205-7101 | 2020-03-31 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on DR. RYAN SCOTT WADDELL.
| 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.