JONATHAN DAVID PAGAN (NPI# 1639515059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639515059 |
| Entity Type | Individual |
| Full Name | JONATHAN DAVID PAGAN |
| Credential | M.D. |
| Practice Address |
8901 Carti Way Little Rock AR 72205 |
| Mailing Address |
500 S University Ave Ste 600 Little Rock AR 72205-5324 |
| Practice Telephone | 5019063000 |
| Mailing Telephone | 5016862688 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2019-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
E-12149 | AR | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
52183 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR STATE MEDICAL LICENSE/RADIATION ONCOLOGY | E-12149 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1710 Patterson St, Nashville, TN 372032926 | 6159634800 | |
| 2220 Pierce Ave, Nashville, TN 37232 | 6153222555 | |
| 1535 Medical Pkwy Ste A, Carson City, NV 897034637 | 7758835505 | |
| 8901 Carti Way, Little Rock, AR 72205 | 5019063000 |
| Street Address |
8901 CARTI WAY |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317941 | Thomas Byron Sneed | Legal Medicine | 8901 Carti Way, Little Rock, AR 72205-6523 | 2005-06-24 |
| 1124627971 | Quinn Hurshman | Genetic Counselor, MS | 8901 Carti Way, Little Rock, AR 72205-6523 | 2020-10-22 |
| 1003477134 | Julie Glover | Nurse Practitioner | 8901 Carti Way, Little Rock, AR 72205-6523 | 2019-06-28 |
| 1497318232 | Julia Jones Turner | Nurse Practitioner | 8901 Carti Way, Little Rock, AR 72205-6523 | 2019-04-17 |
| 1013473008 | Elaine Marie Thrash | Surgery | 8901 Carti Way, Little Rock, AR 72205-6523 | 2019-02-14 |
| 1447715024 | Kayla Williams | Nurse Practitioner | 8901 Carti Way, Little Rock, AR 72205-6523 | 2019-02-07 |
| 1497205322 | Patricia Champion | Dietitian, Registered | 8901 Carti Way, Little Rock, AR 72205-6523 | 2016-10-04 |
| 1962845883 | Kyndall B Finnell | Speech-Language Pathologist | 8901 Carti Way, Little Rock, AR 72205-6523 | 2013-04-10 |
| 1891051611 | Edgar St. Amour | Radiology | 8901 Carti Way, Little Rock, AR 72205-6523 | 2012-04-05 |
| 1790066413 | Lisa Gail Longinotti | Nurse Practitioner | 8901 Carti Way, Little Rock, AR 72205-6523 | 2011-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184011470 | Michael Earl May Jr. | Radiology | 8901 Carti Way Ste 400, Little Rock, AR 72205-6523 | 2015-04-24 |
| 1831509330 | Gary D Lewis | Radiology | 4301 W Markham St # 771, Little Rock, AR 72205-7101 | 2014-05-06 |
| 1871825612 | Robert C. Landgren | Radiology | 37 Pinehurst Cir, Little Rock, AR 72212-3432 | 2010-02-04 |
| 1437383726 | Alvah J Nelson IIi | Radiology | 12105 Fairway Dr, Little Rock, AR 72212-3428 | 2009-05-14 |
| 1275793457 | Walter Ducote Haynes | Radiology | 12800 County Farm Road, Little Rock, AR 72223 | 2008-06-11 |
| 1407844236 | Donald R Harris | Radiology | 4 Saint Vincent Cir, Carti- Markham & University, Little Rock, AR 72205-5402 | 2005-10-06 |
| 1578550851 | Mark R Storey | Radiology | Carti-markham & University, #4 St. Vincent Circle, Little Rock, AR 72205 | 2005-10-03 |
| 1376530550 | Xiang Gao | Radiology | Carti--markham & University, #4 St. Vincent Circle, Little Rock, AR 72205 | 2005-10-03 |
| 1649267824 | Christopher H Pope | Radiology | Carti - Markham & University, #4 St. Vincent Circle, Little Rock, AR 72205 | 2005-10-03 |
| 1013903715 | Michael L Talbert | Radiology | Carti Markham & University, Little Rock, AR 72215 | 2005-09-27 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.