MR. SEIJI JIM DEGOLYER (NPI# 1710178595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710178595 |
| Entity Type | Individual |
| Full Name | MR. SEIJI JIM DEGOLYER |
| Credential | CRT |
| Practice Address |
1820 Drury Ln Conway AR 72034-2942 |
| Practice Telephone | 5013276317 |
| Mailing Telephone | 5013276317 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227800000X | Respiratory Therapist, Certified | 0785 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1820 DRURY LN |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-2942 |
| 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 | 227800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| A Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC). CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, and education to patients with disorders of the cardiopulmonary system. They provide these respiratory care services in all health care facilities and in the home. A CRT is a graduate of an associate degree program approved by the Commission on Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174175251 | Saundra Decoma Harris-edge | Respiratory Therapist, Certified | 5400 Adrian Hwy, Conway, SC 29526-5813 | 2019-07-10 |
| 1881709293 | Samantha Nicole Littell | Respiratory Therapist, Certified | 1550 Hathaway Dr, Conway, AR 72034-3356 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003302415 | Jennifer Nicole Johnson | Respiratory Therapist, Certified | 190 Aviation Plaza, Suite D, Hot Springs, AR 71913-7191 | 2018-07-09 |
| 1477957447 | Melvin Johnson | Respiratory Therapist, Certified | 8720 Ranch Blvd, Little Rock, AR 72223-4462 | 2014-10-20 |
| 1164847620 | Christopher Hale | Respiratory Therapist, Certified | 247 W First Ave, Elkins, AR 72727-3519 | 2014-02-20 |
| 1902127905 | Martin J Boren | Respiratory Therapist, Certified | 8704 Northgate Ln, Sherwood, AR 72120-3206 | 2010-06-14 |
| 1063653855 | Harrell Gene Riley | Respiratory Therapist, Certified | 4409 N Highway 7, Ste 14-15, Hot Springs Village, AR 71909-9301 | 2009-03-09 |
| 1992945265 | Tracey Hamrick | Respiratory Therapist, Certified | 412 E 14th St, Russellville, AR 72801-6818 | 2009-02-26 |
| 1083821839 | Annlee Frazier-george | Respiratory Therapist, Certified | 4001 W 10th St, Little Rock, AR 72204-2034 | 2007-05-17 |
| 1508991092 | Randy Killian | Respiratory Therapist, Certified | 2106 E. Main St, Mountain View, AR 72560 | 2007-02-23 |
| 1538210190 | Nita Moore | Respiratory Therapist, Certified | 12915 Highway 278 N, Dierks, AR 71833-8802 | 2007-01-12 |
| 1376623371 | Mary Dean Smith | Respiratory Therapist, Certified | 313 Plaza, West Helena, AR 72390-2453 | 2006-10-16 |
| 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.