BLYTHEVILLE RT ASSOCIATES LLC (NPI# 1588000228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588000228 |
| Entity Type | Organization |
| Organization Name | BLYTHEVILLE RT ASSOCIATES LLC |
| Practice Address |
1522 N Division St Blytheville AR 72315-1448 |
| Mailing Address |
11101 Hefner Pointe Dr Ste 209 Oklahoma City OK 73120-5054 |
| Practice Telephone | 8707621400 |
| Practice Fax Number | 8707621403 |
| Mailing Telephone | 4054182900 |
| Mailing Fax Number | 4054182907 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | MR. DEREK M PRENTICE (MANAGING MEMBER) |
| Authorized Official Telephone | 4054182200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
1522 N DIVISION ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962641639 | William F Richards Md Plc | Radiology | 1522 N Division St, Blytheville, AR 72315-1448 | 2009-02-19 |
| 1669089462 | Mississippi County Hospital System | Clinic/Center | 1522 N Division St, Blytheville, AR 72315-1448 | 2020-09-25 |
| 1558986240 | Amy Elizabeth Taylor | Pharmacy Technician | 1522 N Division St, Blytheville, AR 72315-1448 | 2020-06-09 |
| 1992043046 | West Clinic, P.C. | Internal Medicine | 1522 N Division St, Blytheville, AR 72315-1448 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962641639 | William F Richards Md Plc | Radiology | 1522 N Division St, Blytheville, AR 72315-1448 | 2009-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499074 | White River Health System, Inc. | Radiology | 525 Virginia Dr, Batesville, AR 72501-7331 | 2019-07-22 |
| 1760835649 | Gary B Wells Md Pa | Radiology | 622 Hospital Dr, Mountain Home, AR 72653-2915 | 2016-07-15 |
| 1184011470 | Michael Earl May Jr. | Radiology | 8901 Carti Way Ste 400, Little Rock, AR 72205-6523 | 2015-04-24 |
| 1831509330 | Gary D Lewis | Radiology | 4301 W Markham St # 771, Little Rock, AR 72205-7101 | 2014-05-06 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1669742433 | Northpoint Radiation Center Gp LLC | Radiology | 2526 Pinnacle Hills Pkwy, Rogers, AR 72758-8939 | 2012-01-10 |
| 1104125616 | South Arkansas Rt Associates LLC | Radiology | 503 Thompson Ave, El Dorado, AR 71730-4555 | 2011-03-23 |
| 1871825612 | Robert C. Landgren | Radiology | 37 Pinehurst Cir, Little Rock, AR 72212-3432 | 2010-02-04 |
| 1437383726 | Alvah J Nelson IIi | Radiology | 12105 Fairway Dr, Little Rock, AR 72212-3428 | 2009-05-14 |
| 1275793457 | Walter Ducote Haynes | Radiology | 12800 County Farm Road, Little Rock, AR 72223 | 2008-06-11 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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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.