MICHAEL CONRAD DENNIS (NPI# 1548603764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548603764 |
| Entity Type | Individual |
| Full Name | MICHAEL CONRAD DENNIS |
| Credential | M.D. |
| Practice Address |
1520 E Dave Ward Dr Conway AR 72032-9649 |
| Mailing Address |
4301 W Markham St Little Rock AR 72205-7101 |
| Practice Telephone | 5015480500 |
| Practice Fax Number | 5015480678 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E-10636 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386186252 | Michael Hubert Dennis | Counselor | 108 E Garfield Ave, Charlevoix, MI 49720-1721 | 2016-11-09 |
| 1356655476 | Michael Thomas Bryan Dennis | Plastic Surgery | 2030 E Valley Rd, Santa Barbara, CA 93108-1430 | 2010-07-30 |
| 1629519855 | Michael James Dennis | Internal Medicine | 725 Albany St, Shapiro 5 & 6, Boston, MA 02118-2526 | 2017-03-20 |
| 1619382769 | Michael Dennis | Community/Behavioral Health | 1100 Walnut St, Owensboro, KY 42301-2956 | 2014-06-27 |
| 1780972687 | Michael Warren Dennis | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2011-07-13 |
| 1750676599 | Michael D Dennis | Counselor | 4761 State Route 29, Celina, OH 45822-8216 | 2011-06-09 |
| 1356505820 | Michael D Dennis | Physician Assistant | 1650 Creekside Dr, Folsom, CA 95630-3400 | 2008-07-15 |
| 1639360886 | Michael Adam Dennis | Psychologist | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2007-08-05 |
| 1689884835 | Michael P Dennis | Counselor | 236 E Fredricks St, Barstow, CA 92311-2821 | 2007-05-23 |
| 1881738201 | Michael B. Dennis | Massage Therapist | 4010 Stone Way N, Suite 300, Seattle, WA 98103-8099 | 2007-02-18 |
| Street Address |
1520 E DAVE WARD DR |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-9649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073821518 | Little Rock Vamc | Clinic/Center | 1520 E Dave Ward Dr, Conway, AR 72032-9649 | 2010-09-17 |
| 1457809485 | Brittany Nicole Rigdon | Optometrist | 1520 E Dave Ward Dr, Conway, AR 72032-9649 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1750483699 | Raymond H Clark | Psychiatry & Neurology | 5330 Plantation Cv, Conway, AR 72034-8586 | 2006-09-01 |
| 1801876446 | Daniel Pistone Md Pa | Psychiatry & Neurology | 3185 Wildhorse Dr, Conway, SC 29526-7817 | 2006-01-19 |
| 1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
| 1972808145 | Conway Psychiatric Clinic, Pllc | Psychiatry & Neurology | 5330 Plantation Cv, Conway, AR 72034-8586 | 2011-01-20 |
| 1841513223 | Jackie Coombe-moore Pa | Psychiatry & Neurology | 680 Hogan Ln, Conway, AR 72034-8131 | 2010-03-12 |
| 1205090933 | Olga Victa | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2008-07-11 |
| 1407063068 | Karen Young Md.pa | Psychiatry & Neurology | 2302 College Ave, Conway, AR 72034-6297 | 2007-05-16 |
| 1871718890 | Jennifer Middleton | Psychiatry & Neurology | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2007-04-16 |
| 1689794604 | Melissa Myers | Psychiatry & Neurology | 25 W Main St, Conway, NH 03818-6142 | 2007-03-31 |
| Find all providers in CONWAY | ||||
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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.