DR. HOLLI BETH BAGWELL (NPI# 1639346240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639346240 |
| Entity Type | Individual |
| Full Name | DR. HOLLI BETH BAGWELL |
| Credential | D.O. |
| Practice Address |
2601 Gene George Blvd Springdale AR 72762 |
| Mailing Address |
1 Childrens Way # 844 Little Rock AR 72202-3500 |
| Practice Telephone | 4797256977 |
| Practice Fax Number | 4797256577 |
| Mailing Telephone | 5013642090 |
| Mailing Fax Number | 5013643929 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
E-7049 | AR | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
2014025044 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 230539003 | 05 |
| Street Address |
2601 GENE GEORGE BLVD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811985302 | Perry Lee Wilbur | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2005-10-10 |
| 1801448022 | Breanne Witherspoon | Audiologist | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2019-07-09 |
| 1699273839 | Justin Neal Morgan | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2018-01-23 |
| 1831602135 | Amanda Schafer Quick | Nurse Practitioner | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2017-11-08 |
| 1629599287 | Michelle Nicole Phillips | Emergency Medicine | 2601 Gene George Blvd, Springdale, AR 72762 | 2017-07-03 |
| 1063878387 | Wesley Mcgehee | Physician Assistant | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2016-01-04 |
| 1114305901 | Sara Reed | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2015-05-12 |
| 1578951539 | Sara Rachel Prine | Nurse Anesthetist, Certified Registered | 2601 Gene George Blvd, Springdale, AR 72762 | 2014-12-29 |
| 1285053272 | Sarah Jeffreys | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2014-04-08 |
| 1811315310 | Rachel A Mckelvy | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2014-04-01 |
| 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 | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657653 | Omar Salem | Pediatrics | #1 Childrens Way, Slot 512-19a, Little Rock, AR 72202 | 2015-04-16 |
| 1619994761 | Lawrence S Quang | Pediatrics | 1 Childrens Way # 512-16, Little Rock, AR 72202-3500 | 2006-07-16 |
| 1396274841 | Arkansas Children's Medical Group Pllc | Pediatrics | 1 Childrens Way # 844, Little Rock, AR 72202-3500 | 2017-06-08 |
| 1477996619 | Maxwell Douglas Taylor | Pediatrics | 4301 W Markham St, Little Rock, AR 72205-7101 | 2013-04-08 |
| 1639497241 | Jeffrey Montgomery | Pediatrics | 1 Childrens Way, Slot # 653, Little Rock, AR 72202-3500 | 2010-05-06 |
| 1801015144 | Nicholas W. Hobart-porter | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2007-04-25 |
| 1487744041 | Henry Farrar | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1447340005 | Charles Graham | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1356431910 | Laura James | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1083704647 | Rebecca Schexnayder | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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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.