DR. JIMMY WAYNE WEATHERLEY (NPI# 1740491448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740491448 |
| Entity Type | Individual |
| Full Name | DR. JIMMY WAYNE WEATHERLEY |
| Credential | D.C. |
| Practice Address |
2665 Donaghey Ave Suite 104 Conway AR 72032-2317 |
| Mailing Address |
2665 Donaghey Ave Ste 104 Conway AR 72032-2317 |
| Practice Telephone | 5014708033 |
| Mailing Telephone | 5013273355 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1696 | AR | Chiropractic Providers |
| Street Address |
2665 DONAGHEY AVE SUITE 104 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811059256 | Malcolm Sevier | Dentist | 2665 Donaghey Ave, Conway, AR 72032-2317 | 2006-12-14 |
| 1669658647 | Dr. Jim Weatherley, D.c., P.a. | Chiropractor | 2665 Donaghey Ave, Suite 104, Conway, AR 72032-2317 | 2008-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706363 | Kassie Wiest | Chiropractor | 1855 Mckennon St Ste 300, Conway, AR 72032-2840 | 2020-10-08 |
| 1699165340 | Owens Chiropractic Clinic, Inc. | Chiropractor | 560 Harkrider St, Conway, AR 72032-5681 | 2015-02-03 |
| 1437582830 | Megan Nicole Chanhnouvong | Chiropractor | 813 Oak St Ste 12, Conway, AR 72032-4400 | 2013-08-21 |
| 1346582632 | Conway Group, P.l.l.c | Chiropractor | 1600 Dave Ward Dr. Ste. E, Conway, AR 72034 | 2013-03-25 |
| 1861705360 | Tray Robert Fowler | Chiropractor | 2501 Zoysia Ln, Conway, AR 72034-8448 | 2010-07-26 |
| 1811135171 | Josi Brooke Owens | Chiropractor | 515 Oak St, Suite D, Conway, AR 72032 | 2009-01-25 |
| 1265627905 | Mcgehee Chiropractic, P.C. | Chiropractor | 2104 Harkrider St, Suite 104, Conway, AR 72032-2820 | 2007-09-06 |
| 1952503047 | Douglas Springborn | Chiropractor | 3415 Us31 North, Conway, MI 49722 | 2007-06-01 |
| 1659405025 | James Keith Currie | Chiropractor | 1100 Bob Courtway Dr Ste 5, Conway, AR 72032-4767 | 2007-03-15 |
| 1376681775 | Shawn Robert Taylor | Chiropractor | 486 White Mountain Hwy, Suite A, Conway, NH 03818-4215 | 2007-02-01 |
| Find all providers in CONWAY | ||||
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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.