HEDBERG ALLERGY AND ASTHMA CENTER, PA (NPI# 1548530694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548530694 |
| Entity Type | Organization |
| Organization Name | HEDBERG ALLERGY AND ASTHMA CENTER, PA |
| Practice Address |
1585 E Rain Forest Rd Fayettteville AR 72703 |
| Mailing Address |
700 S 52nd St Rogers AR 72758-8605 |
| Practice Telephone | 4793018887 |
| Practice Fax Number | 4794649949 |
| Mailing Telephone | 4794648887 |
| Mailing Fax Number | 4794649949 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |
| Authorized Official Name | DR. CURTIS LARS HEDBERG (PRESIDENT) |
| Authorized Official Telephone | 4794648887 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NPI | 1861607368 | 01 |
| KY | NPI | 1790812246 | 01 |
| AR | NPI | 1295820918 | 01 |
| AR | NPI | 1881623965 | 01 |
| Street Address |
1585 E RAIN FOREST RD |
| City | FAYETTTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834550 | Advanced Allergy and Asthma Physicians Pllc | Allergy & Immunology | 500 S University Ave Ste 215, Little Rock, AR 72205-5304 | 2018-06-12 |
| 1871717033 | Teresa Renee Jeffers | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-04-12 |
| 1356317440 | South Ark Ear Nose &throat Clinic P A | Allergy & Immunology | 1722 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-02-27 |
| 1619947470 | Joseph William Matthews | Allergy & Immunology | 11614 Huron Ln, Suite A, Little Rock, AR 72211-1834 | 2006-01-25 |
| 1083606156 | Deanna N. Ruddell | Allergy & Immunology | 16101 Cantrell Rd Ste 104, Little Rock, AR 72223-4578 | 2005-08-16 |
| 1265727259 | Four Seasons Allergy and Asthma Clinic Pa | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2011-06-17 |
| 1255653192 | Allergy Clinic,p.a. | Allergy & Immunology | 311 E Monroe Ave, Jonesboro, AR 72401-2923 | 2010-02-19 |
| 1689883019 | Joseph W Matthews, Md, Pa | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-05-22 |
| 1790812246 | Adesua Okupa Wejinya | Allergy & Immunology | 700 S 52nd St, Rogers, AR 72758-8605 | 2007-02-28 |
| 1427196807 | William J Bulkley M D P A | Allergy & Immunology | 1000 W Kingshighway, Ste # 3, Paragould, AR 72450-4141 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on HEDBERG ALLERGY AND ASTHMA CENTER, PA.
| 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.