MR. SIDNEY MAX BEASLEY II (NPI# 1639290323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639290323 |
| Entity Type | Individual |
| Full Name | MR. SIDNEY MAX BEASLEY II |
| Credential | ANP |
| Practice Address |
4001 Wagon Wheel Rd Springdale AR 72762-0137 |
| Mailing Address |
Po Box 1065 Lowell AR 72745-1065 |
| Practice Telephone | 4797253000 |
| Practice Fax Number | 4797253098 |
| Mailing Telephone | 4797253000 |
| Mailing Fax Number | 4797253098 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01629 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 N College Ave, Fayetteville, AR 727031944 | 4794434301 | 4795875920 |
| Street Address |
4001 WAGON WHEEL RD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-0137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326149493 | Arkansas Occupational Medicine Services Pa | Specialist | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2006-09-25 |
| 1750918660 | Lrae Urainuz Wintercorn | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2020-03-23 |
| 1346899333 | Kacie Larae Felton | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2019-09-11 |
| 1609381276 | Northwest Arkansas Physical Ability Testing Center Pa | Clinic/Center | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2017-12-05 |
| 1932552569 | Dalana Rice | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2016-07-19 |
| 1164807111 | Amanda Gail Bell | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2015-07-20 |
| 1518341643 | Arkansas Occupational Health Clinic | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2015-07-18 |
| 1245668292 | John Daniel Nicholas | Physician Assistant | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2013-10-29 |
| 1003028820 | Tammy Nez Young | Dietitian, Registered | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2007-05-04 |
| 1669695300 | Gary L. Moffitt | Specialist | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944025 | Dawn Yates | Nurse Practitioner | 302 S Shiloh St, Springdale, AR 72764-4409 | 2020-02-19 |
| 1295389930 | Edith Emelife | Nurse Practitioner | 9513 Stoney Ridge Rd, Springdale, MD 20774-5441 | 2019-07-31 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1811334246 | Aaron Jasso | Nurse Practitioner | 4207 Interlaken Ave, Springdale, AR 72762-0438 | 2013-05-24 |
| 1255654331 | Pamela Marie Mounce | Nurse Practitioner | 16412 Majestic Ln, Springdale, AR 72764-6745 | 2010-03-03 |
| 1184764995 | Helen G Mcmahan | Nurse Practitioner | 120 Lion Blvd, Springdale, UT 84767-0246 | 2007-02-08 |
| 1588279475 | Ashley Early | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5394 | 2020-09-09 |
| 1346899333 | Kacie Larae Felton | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2019-09-11 |
| 1427615681 | Joel David Larru | Nurse Practitioner | 3300 W Sunset Ave, Springdale, AR 72762-4950 | 2019-05-23 |
| 1700345378 | Maria Angelica Crowley | Nurse Practitioner | 614 E Emma Ave Ste 300, Springdale, AR 72764-4469 | 2019-03-13 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on MR. SIDNEY MAX BEASLEY II.
| 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.