BRANDON C FAULKNER (NPI# 1710381082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710381082 |
Entity Type | Individual |
Full Name | BRANDON C FAULKNER |
Credential | APRN |
Practice Address |
302 N Greenwood Ave Fort Smith AR 72901-3454 |
Practice Telephone | 5017767130 |
Practice Fax Number | 5017766695 |
Mailing Telephone | 5017767130 |
Mailing Fax Number | 5017766695 |
Enumeration Date | 2014-10-15 |
Last Update Date | 2020-03-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A004225 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
302 N GREENWOOD AVE |
City | FORT SMITH |
State | AR |
Zip Code | 72901-3454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134184799 | Philip E Roberts | Chiropractor | 302 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2006-04-18 |
1407403207 | Lane Richard Salazar Pllc | Nurse Practitioner | 302 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2019-08-26 |
1003470501 | Brett Whatcott Do Pllc | Pain Medicine | 302 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2019-04-30 |
1982078663 | Mcmurry Chiropractic and Wellness Clinic | Chiropractor | 302 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2015-11-18 |
1821419094 | Lane Richard Salazar | Registered Nurse | 302 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2013-12-13 |
1588896088 | John P Mcmurry | Chiropractor | 302 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2009-08-17 |
1669522355 | Philip E.roberts, P.a. | Chiropractor | 302 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2007-01-12 |
1134169816 | Brett D Whatcott | Anesthesiology | 302 N Greenwood Ave, Fort Smith, AR 72901 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
Find all providers in zip 72901 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922566785 | Amanda Mcclure | Nurse Practitioner | 6801 Rogers Ave Fl 3, Fort Smith, AR 72903-4067 | 2019-03-11 |
1558856807 | Elizabeth Eleanor Holmes | Nurse Practitioner | 4200 Jenny Lind Rd Ste A, Fort Smith, AR 72901-7632 | 2018-06-28 |
1790926475 | Tracy R Harwood | Nurse Practitioner | 3505 S 79th St, Fort Smith, AR 72903-6250 | 2009-03-10 |
1811538424 | Ashley Renee Calvillo | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-10-04 |
1588212575 | Lino Lamb | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-09-03 |
1063069326 | Tara Rae Sandusky | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-08-21 |
1659838092 | Andrew Marcus Dugan | Nurse Practitioner | 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 | 2019-02-21 |
1386137826 | Amanda L Cole | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-06-10 |
1174021067 | Jonathan David Schilling | Nurse Practitioner | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2018-01-25 |
1144753302 | Shawna Donaghue | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2017-04-05 |
Find all providers in FORT SMITH |
City | FORT SMITH |
Zip Code | 72901 |
Please comment or provide details below to improve the information on BRANDON C FAULKNER.
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.