DR. JAQUELYN RISA WILANSKY (NPI# 1720519812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720519812 |
| Entity Type | Individual |
| Full Name | DR. JAQUELYN RISA WILANSKY |
| Credential | M.D. |
| Practice Address |
2158 Butterfield Coach Rd Ste 100 Springdale AR 72764-9142 |
| Mailing Address |
1125 N College Ave Fayetteville AR 72703-1908 |
| Practice Telephone | 4797575026 |
| Mailing Telephone | 4795218260 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | E-12048 | AR | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | E-12048 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1125 N College Ave, Fayetteville, AR 727031908 | 4795218260 |
| Street Address |
2158 BUTTERFIELD COACH RD STE 100 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881035244 | Aaron Zabriskie | Family Medicine | 2158 Butterfield Coach Rd Ste 100, Springdale, AR 72764-9142 | 2013-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1225450026 | Sanford Elmer Hutson IIi | Family Medicine | 506 Fairway Cir, Springdale, AR 72764-1027 | 2014-01-13 |
| 1881035244 | Aaron Zabriskie | Family Medicine | 2158 Butterfield Coach Rd Ste 100, Springdale, AR 72764-9142 | 2013-07-15 |
| 1356780233 | Claire Servy | Family Medicine | 610 E Emma Ave, Suite C, Springdale, AR 72764-4634 | 2013-06-24 |
| 1922361740 | Lynnette Anne Morrison | Family Medicine | 1160 S 40th St, Springdale, AR 72762-4832 | 2012-06-18 |
| 1720374804 | Pierrette Larisse Laure Tantchou | Family Medicine | 813 Founders Park Dr E Ste 101, Springdale, AR 72762-6321 | 2011-06-27 |
| 1053623066 | Matthew Patoka | Family Medicine | 4077 Elm Springs Rd # 105, Springdale, AR 72762-3748 | 2010-07-07 |
| 1053556332 | Sheldon Riklon | Family Medicine | 610 E Emma Ave Ste C, Springdale, AR 72764-4685 | 2008-12-15 |
| 1700058641 | Dorman and Dorman Pa | Family Medicine | 1471 W Sunset Ave, Springdale, AR 72764 | 2008-04-01 |
| 1982876140 | Cassat Family Medicine, Pa | Family Medicine | 1022 Jones Rd, Suite B, Springdale, AR 72762-0705 | 2008-03-27 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on DR. JAQUELYN RISA WILANSKY.
| 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.