DR. JOSE ALBERT ANG FONTANILLA JR. (NPI# 1497712640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497712640 |
| Entity Type | Individual |
| Full Name | DR. JOSE ALBERT ANG FONTANILLA JR. |
| Credential | MD |
| Practice Address |
4077 Elm Springs Rd Ste 105 Springdale AR 72762-3703 |
| Mailing Address |
2422 N Thompson Suite A Springdale AR 72764 |
| Practice Telephone | 4799272100 |
| Practice Fax Number | 4799272211 |
| Mailing Telephone | 4797506566 |
| Mailing Fax Number | 4797505251 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
E3107 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 146213001 | 05 |
| Street Address |
4077 ELM SPRINGS RD STE 105 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043704497 | James Robert Feher | Nurse Practitioner | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3703 | 2018-06-19 |
| 1285080853 | Blake Hansen | Family Medicine | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3748 | 2016-05-12 |
| 1609033265 | Carlos Vela Sandoval | Internal Medicine | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3748 | 2008-05-21 |
| 1952429680 | Michelle Chua Ang Poland | Family Medicine | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3748 | 2007-03-27 |
| 1750316634 | Anna Eremieva | Family Medicine | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3703 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740294032 | Maria Cristina M Judit | Internal Medicine | 4077 Elm Springs Rd, Springdale, AR 72762-3748 | 2006-07-29 |
| 1316901994 | Bilal Naeem | Internal Medicine | 210 S Thompson St Ste 4a, Springdale, AR 72764-4261 | 2006-04-12 |
| 1124347380 | Ozark Senior Healthcare, Pllc | Internal Medicine | 210 S Thompson St Ste 4a, Springdale, AR 72764-4261 | 2010-05-26 |
| 1811006760 | Amy Marie Irwin | Internal Medicine | 3409 Elm Springs Rd, Springdale, AR 72762-2754 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992239479 | Bushra Shah Md Pllc | Internal Medicine | 100 Vigne Dr, Little Rock, AR 72223-4581 | 2017-04-12 |
| 1245580539 | Geriatrics Consulting Services Ltd | Internal Medicine | 120 Dellmere Drive, Hot Springs, AR 71913 | 2012-09-13 |
| 1154443372 | Kalpana P Padala | Internal Medicine | 629 Jack Stephens Dr, Little Rock, AR 72205-5525 | 2007-04-06 |
| 1811059363 | Paula M. Podrazik | Internal Medicine | 4301 W. Markham, #783, Little Rock, AR 72205-7101 | 2006-12-14 |
| 1508956079 | David Lipschitz | Internal Medicine | 415 N Mckinley, Suite 130, Little Rock, AR 72205-3013 | 2006-10-13 |
| 1982711891 | Linda Hammond Williams | Internal Medicine | 2200 Fort Roots Dr # 111/nlr, North Little Rock, AR 72114-1709 | 2006-08-24 |
| 1245268424 | Stephen R. Maes | Internal Medicine | 825 N Spring St, Suite F, Harrison, AR 72601-2942 | 2006-06-28 |
| 1407890213 | Crittenden Memorial Hospital | Internal Medicine | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2006-06-15 |
| 1255395752 | Larry Don Wright | Internal Medicine | 1801 Forest Hills Blvd, Suite 201, Bella Vista, AR 72715-3016 | 2006-04-13 |
| 1407810989 | Bilquis Imtiaz Khot | Internal Medicine | 1801 Forest Hills Blvd., Ste. 201, Bella Vista, AR 72715 | 2006-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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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.