MOISES A MENENDEZ (NPI# 1508851320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508851320 |
| Entity Type | Individual |
| Full Name | MOISES A MENENDEZ |
| Credential | MD |
| Practice Address |
101 Hosptial Drive Magnolia AR 71753 |
| Mailing Address |
Po Box 629 Magnolia AR 71754 |
| Practice Telephone | 8702353600 |
| Mailing Telephone | 8702353600 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | R2525 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 195228501 | 05 | |
| AR | 106120001 | 05 | |
| TX | BCBS | 8AL616 | 01 |
| AR | BLUE CROSS | 53626 | 01 |
| Street Address |
101 HOSPTIAL DRIVE |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760904684 | Celia Hicks | Surgery | 30503 N Sulphur Creek Dr, Magnolia, TX 77355 | 2017-07-12 |
| 1477878361 | Anselm Jingwa Tintinu | Surgery | 104 E Columbia, Magnolia, AR 71753-2436 | 2010-04-02 |
| 1568083491 | Magnolia Regional Health System Inc | Surgery | 104 E Columbia, Magnolia, AR 71753-2436 | 2020-05-01 |
| 1457662595 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2010-06-23 |
| 1891940714 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2008-11-19 |
| 1285755256 | Theresa G Mccallie | Surgery | 101 Hospital Drive, Magnolia, AR 71753 | 2007-04-03 |
| 1922093202 | Lawson P Mcnary Jr. | Surgery | 101 Hospital Drive, Magnolia, AR 71753 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962981928 | Baptist Heath Services | Surgery | 1500 Dodson Ave Ste 250, Fort Smith, AR 72901 | 2018-08-10 |
| 1932697877 | Nachtigal and Nachtigal General and Vascular Surgery, Pllc | Surgery | 230 Highway 5 N Ste 10, Mountain Home, AR 72653-3013 | 2018-04-26 |
| 1982108056 | Anthony T Manning Md Pllc | Surgery | 525 Western Ave Ste 203, Conway, AR 72034-4980 | 2018-03-22 |
| 1952840555 | Arkansas Health Group | Surgery | 1703 N Buerkle St Ste 4, Stuttgart, AR 72160-3153 | 2017-02-15 |
| 1295154789 | Nolan R Bruce | Surgery | 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 | 2014-04-10 |
| 1164846887 | Northwest Arkansas Breast Care Specialists, Ltd. | Surgery | 701 S Horsebarn Rd, Suite 100, Rogers, AR 72758-8737 | 2014-02-17 |
| 1265867493 | James W. Slezak, Jr., M.d., P.a. | Surgery | 116 Woodcliff Rd, Springdale, AR 72764-3691 | 2013-09-06 |
| 1366888711 | Raj Patel | Surgery | 4100 Outpatient Cirlce, 616, Little Rock, AR 72205 | 2013-05-13 |
| 1386987766 | Rebecca Empting Bittenbinder | Surgery | 400 Jack Stephens Dr Fl 2, Little Rock, AR 72205 | 2013-04-03 |
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
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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.