JOSEPH C KRADEL (NPI# 1619080736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619080736 |
| Entity Type | Individual |
| Full Name | JOSEPH C KRADEL |
| Credential | MD |
| Practice Address |
2907 E Joyce Blvd Fayetteville AR 72703-5011 |
| Mailing Address |
2907 E Joyce Blvd Suite 6 Fayetteville AR 72703-5011 |
| Practice Telephone | 4794429900 |
| Practice Fax Number | 4794429903 |
| Mailing Telephone | 4794429900 |
| Mailing Fax Number | 4794429903 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E1183 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BX INDIVIDUAL PROVIDER # | 5K345 | 01 |
| AR | 130872001 | 05 |
| Street Address |
2907 E JOYCE BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437163599 | Charles Chad Johnson | Dentist | 2907 E Joyce Blvd, Suite 12, Fayetteville, AR 72703-5011 | 2006-07-27 |
| 1174752273 | Patrick C Long | Student in an Organized Health Care Education/Training Program | 2907 E Joyce Blvd, Fayetteville, AR 72703-5011 | 2009-07-09 |
| 1205060928 | Wylie Wayne Workman | Obstetrics & Gynecology | 2907 E Joyce Blvd, Fayetteville, AR 72703-5011 | 2009-05-08 |
| 1710129770 | Peter Ogden Kohler | Internal Medicine | 2907 E Joyce Blvd, Fayetteville, AR 72703-5011 | 2009-04-06 |
| 1730354333 | John William Johnson | Emergency Medicine | 2907 E Joyce Blvd, Fayetteville, AR 72703-5011 | 2008-04-24 |
| 1578738183 | Elizabeth Duke-maduoma | Student in an Organized Health Care Education/Training Program | 2907 E Joyce Blvd, Fayetteville, AR 72703-5011 | 2008-04-24 |
| 1861683435 | Sarah Elizabeth Mcclintock | Family Medicine | 2907 E Joyce Blvd, #1, Fayetteville, AR 72703-5011 | 2007-08-07 |
| 1295935161 | Kimberly S Huggins | Emergency Medicine | 2907 E Joyce Blvd, Fayetteville, AR 72703-5011 | 2007-07-19 |
| 1922157924 | Jennifer J Craig | Family Medicine | 2907 E Joyce Blvd, Suite 6, Fayetteville, AR 72703-5011 | 2007-01-09 |
| 1669546867 | Noelle R Agan | Genetic Counselor, MS | 2907 E Joyce Blvd, Bldg II, Fayetteville, AR 72703-5011 | 2006-11-20 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1487005336 | Jordan Thomas Vorrie | Emergency Medicine | 543 Vista Dr, Fayetteville, NC 28305-5234 | 2016-06-22 |
| 1780033043 | Braden Coleman | Emergency Medicine | 4104 Medical Center Dr Ste 104, Fayetteville, NY 13066-6635 | 2016-06-08 |
| 1578984357 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 2890 N College Ave, Fayetteville, AR 72703-3412 | 2013-12-23 |
| 1023310448 | Arkansas Em-i Byrne Medical Services P.a. | Emergency Medicine | 3215 North Northhills Blvd, Fayetteville, AR 72703-4007 | 2010-11-18 |
| 1538486113 | Emergency Medicine of Northwest Arkansas, LLC | Emergency Medicine | 3873 North Parkview Drive, Fayetteville, AR 72703 | 2010-04-22 |
| 1689902660 | Shabnam Nourparvar | Emergency Medicine | 1255 Ga-54, Emergency Department, Fayetteville, GA 30214 | 2009-12-02 |
| 1659532067 | Cheryl Perry Colvin | Emergency Medicine | 3206 Melba Dr, Fayetteville, Fayetteville, NC 28301-3389 | 2008-06-18 |
| 1770798878 | Brian Keith Bracy | Emergency Medicine | 1742 E Joyce Blvd Ste 1, Fayetteville, AR 72703-5260 | 2007-05-11 |
| 1033283155 | Dalton L Gray II | Emergency Medicine | 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703 | 2006-11-20 |
| 1225109911 | William I Cross | Emergency Medicine | 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 | 2006-11-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.