DAVID J PENNYWELL (NPI# 1588956957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588956957 |
| Entity Type | Individual |
| Full Name | DAVID J PENNYWELL |
| Credential | MD |
| Practice Address |
7 Shackleford West Blvd Little Rock AR 72211 |
| Mailing Address |
7 Shackleford West Blvd Little Rock AR 72211-3886 |
| Practice Telephone | 5016645860 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | E11964 | AR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 Kings Hwy, Shreveport, LA 711034228 | 3186755053 |
| Street Address |
7 SHACKLEFORD WEST BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485302 | Scott L Beau | Internal Medicine | 7 Shackleford West Blvd, Little Rock, AR 72211 | 2005-08-30 |
| 1801411285 | Allyson D Carroll | Dietitian, Registered | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2020-06-11 |
| 1104476720 | Abigail Grace Connerly | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-09-16 |
| 1013560655 | Angela Denise Cheves | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-07-23 |
| 1922565233 | Crystal E Meziere | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-02-22 |
| 1134685217 | Felicia Mae Johnson | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-02-14 |
| 1588132948 | Lauren Elizabeth Mcbride | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-11-05 |
| 1144705047 | Cassandra Love | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-09-27 |
| 1457832842 | Marissa Boggs | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-08-24 |
| 1568955441 | Jared H Umland | Physician Assistant | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215322003 | George Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 53 Quercus Cir, Little Rock, AR 72223-5159 | 2015-03-30 |
| 1033404199 | Jack Stephens Heart Institute LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 St. Vincent Circle, Ste 501, Little Rock, AR 72205-5414 | 2011-06-16 |
| 1710146907 | J P Rowen Surgery, Plc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9501 Lile Dr Ste 888, Little Rock, AR 72205-6233 | 2008-06-03 |
| 1811073604 | Watkins, Bauer & Meadors, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 | 2006-10-27 |
| 1376640284 | Reginald Wb Barnes Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One St Vincent Circle Suite 360, Little Rock, AR 72205 | 2006-09-20 |
| 1023009040 | Victor Bernard Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9712 W Markham St, Little Rock, AR 72205-2124 | 2005-10-31 |
| 1871914911 | Michael T. Nolen, M. D., P. A. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7 Shackleford West Blvd, Suite 402, Little Rock, AR 72211-3886 | 2013-12-16 |
| 1598031882 | Arkansas Health Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9601 Baptist Health Dr, Suite 700, Little Rock, AR 72205-6321 | 2012-03-30 |
| 1740550805 | S. Thomas Rayburn IIi, Md, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9601 Baptist Health Dr, Ste. 570, Little Rock, AR 72205-6321 | 2012-01-06 |
| 1346551314 | Thurston Matthew Bauer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Saint Vincent Cir, Suite 501, Little Rock, AR 72205-5412 | 2010-06-24 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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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.