GERALD S STIPANUK (NPI# 1669459905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669459905 |
| Entity Type | Individual |
| Full Name | GERALD S STIPANUK |
| Credential | MD |
| Practice Address |
1520 N Division St Blytheville AR 72315-1448 |
| Mailing Address |
801 S Meridian St Greenfield TN 38230-2104 |
| Practice Telephone | 7312350555 |
| Practice Fax Number | 7312350559 |
| Mailing Telephone | 7312350555 |
| Mailing Fax Number | 7312350559 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2018-03-17 |
| NPI Deactivation Date | 11/01/2017 |
| NPI Reactivation Date | 2017-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E-7145 | AR | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | E-7145 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1511734 | 05 | |
| TN | BCBS TN | 4217156 | 01 |
| KY | BCBS KY | 0000006613645 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5376 N. St Hwy 137, Armorel, AR 72310 | 8708247548 | 8705693025 |
| Street Address |
1520 N DIVISION ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338123 | Dunne Medical Ltd | Radiology | 1520 N Division St, Blytheville, AR 72315-1448 | 2005-10-05 |
| 1447796875 | Eric Green | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2017-01-09 |
| 1598218828 | Melissa Joy | Pharmacist | 1520 N Division St, Blytheville, AR 72315-1448 | 2016-08-03 |
| 1932442985 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1520 N Division St, Blytheville, AR 72315-1448 | 2013-03-28 |
| 1720332505 | Arkansas Em-i Byrne Medical Services Pa | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2012-11-01 |
| 1194009019 | Mississippi County Hospital System | Psychiatric Unit | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-10-11 |
| 1750661500 | North Division Street Emergency Physicians | Emergency Medicine | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-08-25 |
| 1376844878 | Mississippi County Hospital System | Anesthesiology | 1520 N Division St, Anesthesia Department, Blytheville, AR 72315-1448 | 2010-11-15 |
| 1932425758 | Laboratory Corporation of America | Clinical Medical Laboratory | 1520 N Division St, Blytheville, AR 72315-1448 | 2010-04-19 |
| 1053554485 | Mississippi County Hospital System | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629595566 | Impact Health Services, Pllc | Internal Medicine | 5027 N County Road 1015, Blytheville, AR 72315-6951 | 2017-08-22 |
| 1528017761 | Adult Medicine Clinic of Blytheville, P.C. | Internal Medicine | 519 N 6th St, Blytheville, AR 72315-2407 | 2006-05-06 |
| 1861478331 | Joseph Vernon Jones | Internal Medicine | 605 N 2nd St, Blytheville, AR 72315-2034 | 2005-12-16 |
| 1447209606 | Shalender Mittal | Internal Medicine | 519 N 6th St, Blytheville, AR 72315-2407 | 2006-05-08 |
| 1336118157 | Richard Lee Hester | Internal Medicine | 1521 N 10th St, Ste C, Blytheville, AR 72315 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066955 | Thomas W Atkinson Md Pa | Internal Medicine | 1670 East Joyce Blvd Suite 2, Fayetteville, AR 72703-0030 | 2020-03-03 |
| 1750927109 | Inpatient Solutions | Internal Medicine | 107 Turtle Creek Rd, Benton, AR 72015-6466 | 2019-11-20 |
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1699252361 | Dan Webb Md Long Term Care | Internal Medicine | 1310 S Avalon St, West Memphis, AR 72301-6271 | 2018-07-25 |
| 1164919684 | Matthew Carpenter | Internal Medicine | Imrp Clinic 300 Carson Street, Jonesboro, AR 72401 | 2018-04-19 |
| 1740797422 | Healthville Pllc | Internal Medicine | 11219 Financial Centre Pkwy Ste 316, Little Rock, AR 72211-3895 | 2018-01-04 |
| 1891229548 | Arkansas Health Group | Internal Medicine | 3201 Springhill Dr Ste 100a, North Little Rock, AR 72117-2910 | 2017-04-19 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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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.