JOSHUA TENNYSON (NPI# 1588042246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588042246 |
| Entity Type | Individual |
| Full Name | JOSHUA TENNYSON |
| Practice Address |
4010 S Mulberry St Pine Bluff AR 71603-7000 |
| Practice Telephone | 8705416000 |
| Mailing Telephone | 8705416000 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2016-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E-10023 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4010 S MULBERRY ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700842218 | Darrell R Over | Family Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2006-04-24 |
| 1912492943 | Michael Falaye | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-06-22 |
| 1720575822 | Vinian R Richards | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-16 |
| 1265939342 | Michael May | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1922505080 | Abdulmattaleb Al Soufi | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1811494974 | Jheanelle Dawkins | Family Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1336646496 | Robert Ferguson | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1841797933 | Gireesh Sadasivan | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1326545401 | Todd Firmatura | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1043745508 | Samuel Henderson | Family Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2017-04-21 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760839120 | Nana-aishatu U Adamu | Emergency Medicine | 1401 S State St Ste C, Pine Bluff, AR 71601-5827 | 2016-05-16 |
| 1154784882 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5510 S Olive Street, Pine Bluff, AR 71603-7607 | 2016-03-31 |
| 1760916365 | Mohammed Malik | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2017-04-20 |
| 1407380082 | Alexander Leigh Hargis | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2017-04-20 |
| 1467817411 | Southeast Arkansas Emergency Physicians LLP | Emergency Medicine | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2015-12-17 |
| 1922475078 | Southeast Arkansas Emergency Physicians LLP | Emergency Medicine | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2015-08-25 |
| 1699153338 | Teresa Bau | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2015-05-14 |
| 1053725499 | Mohanned Hassan Mohammed Ahmed | Emergency Medicine | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2014-06-13 |
| 1578976908 | Abrar Khan | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2014-06-03 |
| 1235542739 | Jermey Jones | Emergency Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2014-06-03 |
| Find all providers in PINE BLUFF | ||||
| 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.