DR. EVAN WADE GREGORY (NPI# 1659507317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659507317 |
| Entity Type | Individual |
| Full Name | DR. EVAN WADE GREGORY |
| Credential | M.D. |
| Practice Address |
2302 College Ave Conway AR 72034-6297 |
| Mailing Address |
2511 N Pierce St Little Rock AR 72207-3620 |
| Practice Telephone | 5014502178 |
| Mailing Telephone | 5012800040 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E-7633 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
2302 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106505 | Jesse E Clanton | Emergency Medicine | 2302 College Ave, Conway, AR 72034-6297 | 2005-09-30 |
| 1912529090 | Clayton Preston | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-05-12 |
| 1922629666 | Dylan Joshua Cruz | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-05-05 |
| 1497376453 | Ross Lenzen | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-04-30 |
| 1639790983 | Olufadejimi Atanda Kareem | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-04-28 |
| 1346877933 | Peggy Ann Schultz | Registered Nurse | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-24 |
| 1578198594 | Anni Julliett Fuenmayor | Nutritionist | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-10 |
| 1871139394 | Sarah C Atkins | Nurse Practitioner | 2302 College Ave, Conway, AR 72034-6297 | 2019-11-19 |
| 1538714761 | Brooke Alexander Miller | Specialist/Technologist | 2302 College Ave, Conway, AR 72034-6297 | 2019-08-05 |
| 1083279533 | Faulkner Emergency Group, Pllc | Physician Assistant | 2302 College Ave, Conway, AR 72034-6297 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1487844510 | Conway Hospital Emergency Professional Services | Emergency Medicine | 300 Singleton Ridge Road, Conway, SC 29526-9142 | 2007-07-25 |
| 1043265655 | William C Pittman | Emergency Medicine | 1125 Skyline Dr, Conway, AR 72032-2857 | 2006-05-23 |
| 1861478232 | College Park Family Clinic Pa | Emergency Medicine | 2511-a College Ave, Conway, AR 72034 | 2005-12-19 |
| 1033106505 | Jesse E Clanton | Emergency Medicine | 2302 College Ave, Conway, AR 72034-6297 | 2005-09-30 |
| 1184625105 | Robert Thomas Vanhook | Emergency Medicine | 3900 Dave Ward Dr Ste 1900, Pmb # 181, Conway, AR 72034-5617 | 2005-08-02 |
| 1770007700 | Laura J Dill | Emergency Medicine | 2302 College Ave, Conway, AR 72034 | 2017-08-01 |
| 1750781654 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 805 Oak Street, Conway, AR 72032-4408 | 2014-08-27 |
| 1760820583 | Megan Taylor | Emergency Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2013-06-14 |
| 1285077727 | Jordan Hunter White | Emergency Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2013-04-15 |
| 1912340860 | Edward Thomas Grove | Emergency Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2013-04-10 |
| Find all providers in CONWAY | ||||
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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.