DELTA DIAGNOSTIC & THERAPEUTIC RAD (NPI# 1548206543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548206543 |
| Entity Type | Organization |
| Organization Name | DELTA DIAGNOSTIC & THERAPEUTIC RAD |
| Practice Address |
316 W 6th Ave Pine Bluff AR 71601-4217 |
| Practice Telephone | 8708506053 |
| Practice Fax Number | 8708506482 |
| Mailing Telephone | 8708506053 |
| Mailing Fax Number | 8708506482 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-05-13 |
| Authorized Official Name | TANYA M SIMPSON (PRESIDENT) |
| Authorized Official Telephone | 8708506053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R2333 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR BLUE CROSS BLUE SHIELD | 5C647 | 01 |
| AR | 155956002 | 05 | |
| AR | PALMETTO GBA GROUP | DC3930 | 01 |
| AR | BREAST CARE | 770218402 | 01 |
| Street Address |
316 W 6TH AVE |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71601-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981261 | John David Hardin | Radiology | 316 W 6th Ave, Ste A, Pine Bluff, AR 71601-4217 | 2005-06-10 |
| 1952420846 | Living Hope Medical Services | Psychiatry & Neurology | 316 W 6th Ave, Pine Bluff, AR 71601-4217 | 2007-03-29 |
| 1821148586 | Pine Bluff Surgical Clinic, Inc | Specialist | 316 W 6th Ave, Pine Bluff, AR 71601-4217 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1316324494 | Nora Elizabeth Horton | Specialist/Technologist | 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 | 2015-04-28 |
| 1780003665 | Sameer R. Shelat | Internal Medicine | 4125, Rhinehart Road, Pine Bluff, AR 71601 | 2014-04-08 |
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1922243807 | The Pine Bluff Group, Pllc | Chiropractor | 2102 S. Olive St., Pine Bluff, AR 71601 | 2008-12-08 |
| 1053571711 | Jefferson Comprehensive Care System Inc | Clinic/Center | 1101 Tennssee, Pine Bluff, AR 71601 | 2008-06-16 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| Find all providers in zip 71601 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981261 | John David Hardin | Radiology | 316 W 6th Ave, Ste A, Pine Bluff, AR 71601-4217 | 2005-06-10 |
| 1851301493 | Henry Melvin Hegwood | Radiology | 1801 W 40th Ave, Suite 2c, Pine Bluff, AR 71603-6940 | 2006-08-08 |
| 1982647376 | Rodolfo E Lim | Radiology | 1801 W 40th Ave, Suite 2c, Pine Bluff, AR 71603-6900 | 2006-06-14 |
| 1154364545 | James L Workman | Radiology | 1801 W 40th Ave, Suite 2c, Pine Bluff, AR 71603-6900 | 2006-06-14 |
| 1174565139 | William N Lim | Radiology | 1801 W 40th Ave, Suite 2c, Pine Bluff, AR 71603-6900 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668357 | Medical Associates of Northwest Arkansas, Pa | Radiology | 3901 Parkway Cir Ste 125, Springdale, AR 72762-6362 | 2020-10-30 |
| 1144853821 | Resort Radiology, Pllc | Radiology | 13107 Colonel Glenn Rd, Little Rock, AR 72210-2319 | 2020-02-20 |
| 1548813793 | Medcom Imaging, Inc. | Radiology | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-07-17 |
| 1750848552 | Tamesha Green | Radiology | 3204 Salinas De Hidalgo, North Little Rock, AR 72118-1167 | 2019-02-27 |
| 1598243560 | Medical Associates of Northwest Arkansas Pa | Radiology | 502 N Walnut St, Harrison, AR 72601-3616 | 2018-08-01 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1245626704 | Michael Platt | Radiology | 15 W Nottingham Ln, Rogers, AR 72758-9513 | 2015-04-11 |
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1700211653 | Medical Associates of Northwest Arkansas Pa | Radiology | 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 | 2013-09-11 |
| 1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71601 |
Please comment or provide details below to improve the information on DELTA DIAGNOSTIC & THERAPEUTIC RAD.
| 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.