DAVID M STREET


Address: 2010 Active Way, Benton, AR 72022-9267
Phone: 5013150984

DAVID M STREET (NPI# 1487252755) 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) 1487252755
Entity Type Individual
Full Name DAVID M STREET
Credential PA
Practice Address 2010 Active Way
Benton
AR 72022-9267
Practice Telephone 5013150984
Practice Fax Number 5018471405
Mailing Telephone 5013150984
Mailing Fax Number 5018471405
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PT2020058 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR ARKANSAS STATE LICENSE PT2020-058 01

Other Providers DAVID STREET

NPI Name Taxonomy Address Enumeration
1114358470 David Richard Street Chiropractor 3000 Market St Ne Ste 268, Salem, OR 97301-1809 2013-12-11
1972549103 David Carey Street Dentist 2200 Mchenry Ave, Suite B, Modesto, CA 95350-3256 2006-06-22
1932529096 David Street Case Manager/Care Coordinator 2150 Stockton Blvd, Sacramento, CA 95817-1337 2014-04-16
1902953797 David Street Otolaryngology 1601 23rd Ave S, Suite 3050, Nashville, TN 37212-3182 2007-01-04
1326129545 David Lee Street Surgery 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 2006-10-17

Office Location

Street Address 2010 ACTIVE WAY
City BENTON
State AR
Zip Code 72022-9267

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073596086 Richard Dale Stevens Physical Therapist 2010 Active Way, Benton, AR 72019-0000 2005-11-23
1285141333 Danny D Satterfield Physician Assistant 2010 Active Way, Benton, AR 72022-9267 2018-01-10
1376792457 Jasmin Ann Lease Physician Assistant 2010 Active Way, Benton, AR 72019-7566 2008-09-15
1790952406 Jeffrey S Johnson Orthopaedic Surgery 2010 Active Way, Benton, AR 72022-9267 2008-05-12
1336368661 Mark S Bailey Jr. Orthopaedic Surgery 2010 Active Way, Benton, AR 72019-7566 2007-04-25
1952412892 Donald Scott Walsh Orthopaedic Surgery 2010 Active Way, Benton, AR 72019-7566 2006-08-31
1093825002 Saline Orthopedic Group P A Orthopaedic Surgery 2010 Active Way, Benton, AR 72022-9267 2006-08-30
1922082684 Ralph D Cash Orthopaedic Surgery 2010 Active Way, Benton, AR 72019-7566 2005-12-05
1336123512 Jerry J Lorio Orthopaedic Surgery 2010 Active Way, Benton, AR 72019-7566 2005-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922608868 Lindsay Paige Macphee Behavior Technician 22461-i-30 Frontage Road, Bryant, AR 72022 2020-10-29
1952913469 Kaleigh Angleton Pharmacist 5500 Ar-5, Bryant, AR 72022 2020-08-18
1851937254 Lonnell O Seamster Sr. Nurse Practitioner 501 Woody Drive, Alexander, AR 72022 2019-11-20
1366098998 Hannah Marie London Occupational Therapist 350 School Drive, Bryant, AR 72022 2019-08-09
1356996987 Micah Self Occupational Therapy Assistant 200 Nw 4th Street, Bryant, AR 72022 2019-08-09
1114437548 Samantha Lee Davis Behavioral Analyst 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 2017-10-12
1164962171 Healthcare Express, LLP Clinic/Center 23150 I-30 N, Bryant, AR 72022 2017-02-24
1205283223 V & S Xpress LLC Non-emergency Medical Transport (VAN) 719 Sedgefield, Bryant, AR 72022 2016-05-19
1467877969 Arkansas Maxillofacial Surgery Center Dentist 411 Office Park Dr, Bryant, AR 72022 2014-02-20
1558614511 Melissa Robertson Audiologist 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 2012-10-16
Find all providers in zip 72022

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033650817 Dickson Orthopedics, Pa Physician Assistant 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632 2017-03-14
1912455387 Anthony D Long Jr. Physician Assistant 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 2016-09-14
1215233887 Joshua Anthony Trinkle Physician Assistant 224 W. Erie Ave, Harrison, AR 72601 2011-01-31
1831391655 Mandy Suzanne Mooneyham Physician Assistant 3053 N College Ave, Fayetteville, AR 72703-3417 2007-06-04
1407460843 Alexandra Paige Brown Physician Assistant 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 2020-09-02
1881158517 Jordan Lane Milam Physician Assistant 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 2019-01-28
1790252286 Allison Henry Physician Assistant 4301 W Markham St, Little Rock, AR 72205-7101 2018-11-01
1649755133 Hillary Michelle Mayberry Physician Assistant 4301 W Markham St, Little Rock, AR 72205-7101 2018-10-01
1013417518 Corey Carver Physician Assistant 1000 S 52nd St, Rogers, AR 72758-8610 2018-02-20
1316485857 Farrah Jennings Physician Assistant 1000 S. 52nd Street, Rogers, AR 72758 2017-02-04
Find all providers with the same taxonomy

Competitor

Search similar providers

City BENTON
Zip Code 72022

Improve Information

Please comment or provide details below to improve the information on DAVID M STREET.

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.

Trending Searches