MR. ROGER L. SPRAGUE (NPI# 1720164593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720164593 |
| Entity Type | Individual |
| Full Name | MR. ROGER L. SPRAGUE |
| Credential | CSA |
| Practice Address |
2 Shackleford West Blvd Little Rock AR 72211-3755 |
| Practice Telephone | 5016662894 |
| Mailing Telephone | 5016662894 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 SHACKLEFORD WEST BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841276169 | Charles Lowry Barnes | Orthopaedic Surgery | 2 Shackleford West Blvd, Little Rock, AR 72211-3755 | 2005-12-19 |
| 1386108736 | Hannah Elizabeth Banning | Physician Assistant | 2 Shackleford West Blvd, Little Rock, AR 72211-3755 | 2019-01-29 |
| 1073988572 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 2 Shackleford West Blvd, Little Rock, AR 72211 | 2015-12-09 |
| 1033452446 | Sean Michael Morell | Orthopaedic Surgery | 2 Shackleford West Blvd, Little Rock, AR 72211-3755 | 2013-04-03 |
| 1043247927 | Thomas R Carr | Registered Nurse | 2 Shackleford West Blvd, Little Rock, AR 72211-3755 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881158517 | Jordan Lane Milam | Physician Assistant | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2019-01-28 |
| 1790252286 | Allison Henry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-11-01 |
| 1649755133 | Hillary Michelle Mayberry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-10-01 |
| 1215472436 | Faye Mariz Laurio Razon | Physician Assistant | 4301 W Markham St, #713, Little Rock, AR 72205-7101 | 2016-12-23 |
| 1396115192 | Kumar Mahendra Patel | Physician Assistant | 1 Childrens Way # 210, Little Rock, AR 72202-3500 | 2015-10-06 |
| 1437235207 | Zachary S. Webb | Physician Assistant | 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 | 2006-10-27 |
| 1710062724 | Anderson L Benson Jr. | Physician Assistant | 4300 W 7th St, Little Rock, AR 72205-5446 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650817 | Dickson Orthopedics, Pa | Physician Assistant | 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632 | 2017-03-14 |
| 1912455387 | Anthony D Long Jr. | Physician Assistant | 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 | 2016-09-14 |
| 1215233887 | Joshua Anthony Trinkle | Physician Assistant | 224 W. Erie Ave, Harrison, AR 72601 | 2011-01-31 |
| 1831391655 | Mandy Suzanne Mooneyham | Physician Assistant | 3053 N College Ave, Fayetteville, AR 72703-3417 | 2007-06-04 |
| 1487252755 | David M Street | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2020-10-09 |
| 1407460843 | Alexandra Paige Brown | Physician Assistant | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2020-09-02 |
| 1013417518 | Corey Carver | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2018-02-20 |
| 1316485857 | Farrah Jennings | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2017-02-04 |
| 1851764856 | Jonathon Michael Mccrary | Physician Assistant | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2015-11-12 |
| 1659790210 | Karla Heard | Physician Assistant | 2717 S 74th St, Fort Smith, AR 72903-5100 | 2014-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on MR. ROGER L. SPRAGUE.
| 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.