ROGER CAMERON (NPI# 1538553896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538553896 |
| Entity Type | Individual |
| Full Name | ROGER CAMERON |
| Credential | ACADC, CCS |
| Practice Address |
2304 W 29th Ave Suite 1 Pine Bluff AR 71603-5005 |
| Mailing Address |
Po Box 21203 White Hall AR 71612-1203 |
| Practice Telephone | 8702475222 |
| Practice Fax Number | 8706714847 |
| Mailing Telephone | 8702475222 |
| Mailing Fax Number | 8706714847 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A-100 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 206619740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598738379 | Roger Williams Cameron | Orthopaedic Surgery | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2006-02-10 |
| Street Address |
2304 W 29TH AVE SUITE 1 |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952546194 | Karen Marie Appleget | Counselor | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2008-12-02 |
| 1013461987 | Jefferson Comprehensive Counseling Associates | Clinic/Center | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2016-08-09 |
| 1962896217 | Madeline Noel Fults | Counselor | 2304 W 29th Ave, Suite 1, Pine Bluff, AR 71603-5005 | 2015-03-25 |
| 1225422561 | Scott Aaron Mabry | Counselor | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2015-03-25 |
| 1104227586 | Dorcas Hope Vangilst | Counselor | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2014-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870389 | Zabrina Zennile Weaver | Counselor | 407 W 35th Ave, Pine Bluff, AR 71603-6083 | 2020-08-06 |
| 1720229172 | Kenneth Carswell | Counselor | 6120 Whiteaker Rd, Pine Bluff, AR 71603-8076 | 2009-03-16 |
| 1962896217 | Madeline Noel Fults | Counselor | 2304 W 29th Ave, Suite 1, Pine Bluff, AR 71603-5005 | 2015-03-25 |
| 1225422561 | Scott Aaron Mabry | Counselor | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2015-03-25 |
| 1700215233 | Quaninika Washington | Counselor | 2901 S Hemlock St, Pine Bluff, AR 71603-4783 | 2013-11-05 |
| 1205172335 | Cares Behavioral Services | Counselor | 1116 S State St, Pine Bluff, AR 71601-5851 | 2012-12-18 |
| 1457398547 | Southeast Arkansas Behavioral Healthcare System Inc | Counselor | 2500 Rike Drive, Pine Bluff, AR 71603 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051088 | Katreasa L Cwright | Counselor | 224 South 5th St, Madison, AR 72359 | 2020-07-28 |
| 1679100549 | Collin Roe | Counselor | 1200 W Walnut St Ste 1115, Rogers, AR 72756-3521 | 2020-03-23 |
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1871158469 | Jerry Rushing | Counselor | 6301 Father Tribou St, Little Rock, AR 72205-3003 | 2019-05-08 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1144705872 | The Family Institute of Arkansas | Counselor | 425 W Broadway St Ste H, North Little Rock, AR 72114-5576 | 2018-09-27 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1831680909 | Greg Dupriest | Counselor | 1239 Alma North St, Alma, AR 72921-4602 | 2018-05-24 |
| 1609366350 | Eric Dominic Parks | Counselor | 7000 N State Line Ave, Texarkana, AR 71854-8100 | 2018-05-17 |
| 1164882106 | Katelyn Coney | Counselor | 15 Trina Loop, Greenbrier, AR 72058-9062 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.