DR. MATTHEW BRADLEY JENNINGS (NPI# 1740271014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740271014 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BRADLEY JENNINGS |
| Credential | MD |
| Practice Address |
200 Carr Street Pea Ridge AR 72751 |
| Practice Telephone | 4794886415 |
| Practice Fax Number | 4794886416 |
| Mailing Telephone | 4794886415 |
| Mailing Fax Number | 4794886416 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-9048 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS# | 04515143 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124290929 | Matthew Dale Jennings | Chiropractor | 1408 Lexington Ave Ste C, Mansfield, OH 44907-2630 | 2008-04-01 |
| 1891801148 | Matthew S Jennings | Pediatrics | 9485 Mentor Avenue, #101, Mentor, OH 44060 | 2006-08-21 |
| 1710476197 | Matthew Jarrod Jennings | Pharmacist | 1501 Helen Power Dr, Vacaville, CA 95687-3351 | 2018-05-01 |
| 1588970040 | Matthew Jennings | Social Worker | 702 N Main St, Roxboro, NC 27573-4755 | 2010-08-23 |
| 1174846083 | Matthew Jennings | Pharmacist | 650 Harry L Dr, Johnson City, NY 13790-1146 | 2010-03-05 |
| 1124007091 | Matthew T Jennings | Anesthesiology | 1118 Ross Clark Cir, Dothan, AL 36301-3001 | 2006-01-10 |
| Street Address |
200 CARR STREET |
| City | PEA RIDGE |
| State | AR |
| Zip Code | 72751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711544 | Whitney Layne Franklin | Nurse Practitioner | 200 Carr Street, Pea Ridge, AR 72751 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1780878553 | Hands-on Chiropractic Inc | Chiropractor | 522 N Curtis Avenue, Pea Ridge, AR 72751 | 2007-09-05 |
| 1770588451 | Delilah Mae Parker | Chiropractor | 522 N. Curtis Avenue, Pea Ridge, AR 72751 | 2005-06-17 |
| 1518273580 | Hope Dunseath | Licensed Practical Nurse | 827 West Slack Street, Pea Ridge, AR 72751 | 2010-08-27 |
| 1609182674 | Rachel Carlton | Licensed Practical Nurse | 827 West Slack Street, Pea Ridge, AR 72751 | 2010-08-27 |
| 1407875461 | City of Pea Ridge | Ambulance | 293 South Curtis Ave, Pea Ridge, AR 72751-0010 | 2006-07-19 |
| 1013067065 | Pea Ridge School District | Local Education Agency (LEA) | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2007-01-11 |
| 1699223644 | Patrick Thompson | Speech-Language Pathologist | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2016-09-20 |
| 1386891307 | Amanda Mychale Coco | Speech-Language Pathologist | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2008-08-20 |
| 1417437385 | Melissa Kucyk | Speech-Language Pathologist | 979 Weston St, Pea Ridge, AR 72751-2628 | 2018-08-20 |
| Find all providers in zip 72751 | ||||
| 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 |
|---|---|---|---|---|
| 1730252289 | George B Howell | Family Medicine | 801 N Curtis Ave, Pea Ridge, AR 72751-2930 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609833 | Lafayette County Family Practice | Family Medicine | 226 Spruce Street, Lewisville, AR 71845 | 2020-11-06 |
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1932709995 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 505 W Section Line Road, Poyen, AR 72128 | 2020-10-29 |
| 1124627781 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 370 Highway 215, Oark, AR 72852-8858 | 2020-10-23 |
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1417563321 | Access Medical Clinic Arkansas LLC | Family Medicine | 444 Taylor Circle, Cave City, AR 72521 | 2020-09-17 |
| 1871107474 | Mimo Medical Services, LLC | Family Medicine | 2506 Crestview Dr, Magnolia, AR 71753-4336 | 2020-09-02 |
| 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.