INTERVENTIONAL RADIOLOGY AND IMAGING SPECIALISTS, PLLC (NPI# 1699719799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699719799 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL RADIOLOGY AND IMAGING SPECIALISTS, PLLC |
| Other Organization Name | THE VEIN CENTER OF NW ARKANSAS |
| Practice Address |
4301 Greathouse Springs Rd., Suite # Rad Room 1064 Johnson AR 72741 |
| Mailing Address |
Po Box 555 Johnson AR 72741-0555 |
| Practice Telephone | 4794428346 |
| Practice Fax Number | 4795824723 |
| Mailing Telephone | 4794428346 |
| Mailing Fax Number | 4795824723 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DOUGLAS ELLIOTT (MANAGING PARTNER) |
| Authorized Official Telephone | 4794428346 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MC-2430 | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Vein Center of NW Arkansas | Other Name - Individual/Organization |
| Street Address |
4301 GREATHOUSE SPRINGS RD., SUITE # RAD ROOM 1064 |
| City | JOHNSON |
| State | AR |
| Zip Code | 72741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992915409 | Julianne Patricia Braswell | Occupational Therapist | 4301 Greathouse Springs Road, Johnson, AR 72741 | 2007-05-23 |
| 1396855490 | Donald Ray Curran | Pharmacist | 5201 Willow Creek, Johnson, AR 72741 | 2006-08-30 |
| 1336159318 | Care Iv, Inc. | Home Health | 3801 Greathouse Springs Road, Suite I, Johnson, AR 72741 | 2006-08-09 |
| 1376596569 | Womens Center of Northwest Arkansas LLC | General Acute Care Hospital | 4301 Greathouse Rd., Johnson, AR 72741 | 2006-05-18 |
| 1609877414 | Collier Drug Stores Inc | Pharmacy | 5201 Willow Creek Dr, Johnson, AR 72741 | 2005-08-02 |
| 1881150563 | Jessica Jean Newcomb | Nurse Practitioner | 4301 Greathouse Springs Road, Johnson, AR 72741 | 2019-02-18 |
| 1790146454 | Brandi Alexander | Nurse Practitioner | 4301 Greathouse Springs Road, Johnson, AR 72741 | 2016-03-09 |
| 1457718132 | Sheridan Children's Healthcare Services of Arkansas, P.a. | Hospitalist | 4301 Greathouse Springs Road, Johnson, AR 72741 | 2016-01-26 |
| 1851620751 | Nw Physicians, LLC. | Special Hospital | 4301 Greathouse Springs Road, Johnson, AR 72741 | 2009-12-24 |
| 1447271143 | Womens Center of Northwest Arkansas LLC | Radiology | 4301 Greathouse Springs Rd, Johnson, AR 72741 | 2006-07-21 |
| Find all providers in zip 72741 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467547141 | Wilson Interventional Clinic Pa | Radiology | 628 Hospital Dr Ste 3d, Mountain Home, AR 72653-2952 | 2006-10-04 |
| 1215028188 | William Combs Culp | Radiology | 4301 W Markham # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
| 1679527642 | Edward E Angtuaco | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205 | 2006-05-22 |
| 1194779991 | Charles T Burke | Radiology | 9601 Lile Drive, Suite 1100, Little Rock, AR 72205-6333 | 2006-05-19 |
| 1629617857 | Sarah Michelle Lindsey | Radiology | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-01-06 |
| 1144674409 | Pain & Interventional Radiology Specialists, P.a. | Radiology | 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 | 2016-04-22 |
| 1225370810 | Erin E Priddy | Radiology | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2013-03-21 |
| 1891051611 | Edgar St. Amour | Radiology | 8901 Carti Way, Little Rock, AR 72205-6523 | 2012-04-05 |
| 1174816235 | Joseph Steven Konrad | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2011-05-24 |
| 1548552037 | William Joseph Meek | Radiology | 4301 W Markham St, Little Rock, AR 72205-7101 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
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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.