DR. DONALD WILLIAM EDGERLY (NPI# 1750368759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750368759 |
| Entity Type | Individual |
| Full Name | DR. DONALD WILLIAM EDGERLY |
| Credential | M.D. |
| Practice Address |
200 W Tyler Ave West Memphis AR 72301-4223 |
| Mailing Address |
3385 Rast Rd Millington TN 38053-8833 |
| Practice Telephone | 8707351500 |
| Mailing Telephone | 9018763294 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 24665 | MS | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | E-3211 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD0000025923 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
200 W TYLER AVE |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811397466 | Meshelle Elizabeth Nabors | Registered Nurse | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2014-09-02 |
| 1386064103 | Brittany Forbes | Nurse Practitioner | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2014-04-19 |
| 1679833651 | Crittenden Physician Services LLC | Physician Assistant | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2012-05-23 |
| 1225366024 | Crittenden Emergency Group LLC | Physician Assistant | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-12-07 |
| 1659608735 | Angela R Whatley | Doula | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-11-10 |
| 1346483799 | Kimberly Latashia Crenshaw | Emergency Medicine | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-04-15 |
| 1215182985 | Jason C Mckewen | Pharmacist | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2008-11-23 |
| 1588875629 | Deepali Suryavanshi | Occupational Therapist | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-24 |
| 1316155971 | Crittenden Hospital Association | Home Health | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-18 |
| 1821113879 | Crittenden Hospital Association | Anesthesiology | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| 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 |
|---|---|---|---|---|
| 1083626998 | Trent Patterson Pierce | Family Medicine | 301 W Polk Ave, West Memphis, AR 72301-4262 | 2006-08-12 |
| 1740214402 | Coast To Coast Medical, LLC | Family Medicine | 2201 Horizon Drive, Suite 4, West Memphis, AR 72301 | 2006-07-10 |
| 1467428847 | John Chin Wah | Family Medicine | 230 West Broadway, West Memphis, AR 72301 | 2006-02-27 |
| 1255318093 | Valencia Marie Andrews-pirtle | Family Medicine | 215 E Bond Ave, West Memphis, AR 72301-3550 | 2005-12-22 |
| 1750991022 | Start, Pllc | Family Medicine | 111 Dover Rd, West Memphis, AR 72301-2605 | 2020-08-03 |
| 1497278204 | Saint Francis-arkansas Physician Network, LLC | Family Medicine | 300 S Rhodes St, West Memphis, AR 72301-4215 | 2017-07-24 |
| 1760838833 | Adrienne D Hatchett | Family Medicine | 900 N 7th St, West Memphis, AR 72301-2001 | 2016-05-09 |
| 1255454336 | James G Alexander Jr Dds Md Pllc | Family Medicine | 228 W Tyler Ave, Ste 307, West Memphis, AR 72301-4223 | 2007-04-06 |
| 1659477164 | Nedra Clem Jackson | Family Medicine | 900 N 7th St, West Memphis, AR 72301-2001 | 2006-09-15 |
| 1831105733 | Sharon E Thorpe | Family Medicine | 215 E Bond Ave, West Memphis, AR 72301-3550 | 2006-07-31 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on DR. DONALD WILLIAM EDGERLY.
| 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.