ARKANSAS OCCUPATIONAL HEALTH CLINIC (NPI# 1518341643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518341643 |
Entity Type | Organization |
Organization Name | ARKANSAS OCCUPATIONAL HEALTH CLINIC |
Practice Address |
4001 Wagon Wheel Rd Springdale AR 72762-0137 |
Practice Telephone | 4797253001 |
Practice Fax Number | 4797253098 |
Mailing Telephone | 4797253001 |
Mailing Fax Number | 4797253098 |
Enumeration Date | 2015-07-18 |
Last Update Date | 2015-07-18 |
Authorized Official Name | MR. LUKE MOFFITT (ADMINISTRATOR) |
Authorized Official Telephone | 4797253055 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
ATP-000823 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4001 WAGON WHEEL RD |
City | SPRINGDALE |
State | AR |
Zip Code | 72762-0137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326149493 | Arkansas Occupational Medicine Services Pa | Specialist | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2006-09-25 |
1750918660 | Lrae Urainuz Wintercorn | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2020-03-23 |
1346899333 | Kacie Larae Felton | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2019-09-11 |
1609381276 | Northwest Arkansas Physical Ability Testing Center Pa | Clinic/Center | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2017-12-05 |
1932552569 | Dalana Rice | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2016-07-19 |
1164807111 | Amanda Gail Bell | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2015-07-20 |
1245668292 | John Daniel Nicholas | Physician Assistant | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2013-10-29 |
1003028820 | Tammy Nez Young | Dietitian, Registered | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2007-05-04 |
1669695300 | Gary L. Moffitt | Specialist | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2007-04-11 |
1750402442 | Jonathan Wade Lee | Physical Therapist | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2007-04-02 |
Find all providers in the same location |
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 | 363LX0106X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Occupational Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164807111 | Amanda Gail Bell | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2015-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801806310 | Norman Depaul Brown | Nurse Practitioner | 4300 W 7th St, 05h/nlr, Little Rock, AR 72205-5446 | 2006-08-08 |
City | SPRINGDALE |
Zip Code | 72762 |
Please comment or provide details below to improve the information on ARKANSAS OCCUPATIONAL HEALTH CLINIC.
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.