SHIROLYN MOFFETT M.D.,P.A. (NPI# 1700106549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700106549 |
| Entity Type | Organization |
| Organization Name | SHIROLYN MOFFETT M.D.,P.A. |
| Practice Address |
715 W Sherman Ave Suite D Harrison AR 72601-2743 |
| Practice Telephone | 8702045129 |
| Practice Fax Number | 8702045131 |
| Mailing Telephone | 8702045129 |
| Mailing Fax Number | 8702045131 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | DR. SHIROLYN RUTH MOFFETT (PRESIDENT) |
| Authorized Official Telephone | 8702045129 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
E0693 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 131508001 | 05 |
| Street Address |
715 W SHERMAN AVE SUITE D |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760473979 | Laura D Morrison | Counselor | 715 W Sherman Ave, Ste F, Harrison, AR 72601-2743 | 2005-11-04 |
| 1881291896 | Hannah Jane Wilburn | Nurse Practitioner | 715 W Sherman Ave, Harrison, AR 72601-2743 | 2020-10-02 |
| 1003215955 | Clear Skin Medical Solutions, LLC | Nurse Practitioner | 715 W Sherman Ave, Suite H, Harrison, AR 72601-2743 | 2014-08-16 |
| 1982931192 | North Arkansas Surgery Clinic | Specialist | 715 W Sherman Ave, Suite B, Harrison, AR 72601-2743 | 2009-11-09 |
| 1316158025 | Harrison Family Practice Clinic | Nurse Practitioner | 715 W Sherman Ave, Suite G, Harrison, AR 72601-2743 | 2007-05-24 |
| 1053491811 | Scott Frazier Ferguson | Urology | 715 W Sherman Ave, Suite A, Harrison, AR 72601 | 2006-10-16 |
| 1356432702 | Max Ann Ferguson | Urology | 715 W Sherman Ave, Suite A, Harrison, AR 72601 | 2006-09-28 |
| 1831297167 | North Arkansas Urology Pa | Urology | 715 W Sherman Ave, Suite A, Harrison, AR 72601 | 2006-09-20 |
| 1598879264 | David R. Kernodle, D.d.s.,p.c. | Dentist | 715 W Sherman Ave, Suite H, Harrison, AR 72601-2743 | 2006-08-18 |
| 1588672638 | The Mental Fitness Center of The Ozarks,inc | Clinical Neuropsychologist | 715 W Sherman Ave, Ste F, Harrison, AR 72601-2743 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042893 | Kidneysue, LLC | Family Medicine | 216 Summit Ridge Pl, Hot Springs, AR 71901-8671 | 2020-01-21 |
| 1619470275 | Haley Walters | Family Medicine | 210 S Thompson St Ste 5, Springdale, AR 72764-4261 | 2018-03-09 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1649556150 | Joseph Edward Hughes | Family Medicine | 1009 Rossland Dr, Jonesboro, AR 72404-8471 | 2011-10-28 |
| 1104105972 | Shipley & Sills Family Practice, Pllc | Family Medicine | 4003 Massard Rd., Fort Smith, AR 72903 | 2011-08-11 |
| 1649417361 | Gerald Lawrence Guyer | Family Medicine | 2915 Ashley Dr, Conway, AR 72034-7336 | 2009-01-16 |
| 1578759965 | Timothy Ewing Bainum | Family Medicine | 2673 Highway 70 E, Glenwood, AR 71943-8750 | 2007-09-19 |
| 1356563241 | Gil Johnson | Family Medicine | 2511 A College Ave, Conway, AR 72034-6135 | 2007-05-02 |
| 1821172651 | Romana Rayaz | Family Medicine | 4300 W 7th St # West, Little Rock, AR 72205-5446 | 2006-10-25 |
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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.