ARKANSAS DERMATOPATHOLOGY PLLC (NPI# 1760783526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760783526 |
| Entity Type | Organization |
| Organization Name | ARKANSAS DERMATOPATHOLOGY PLLC |
| Practice Address |
9601 Baptist Health Dr Suite 690 Little Rock AR 72205-6328 |
| Practice Telephone | 5012278422 |
| Practice Fax Number | 5015372399 |
| Mailing Telephone | 5012278422 |
| Mailing Fax Number | 5015372399 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | DR. RENIE E BRESSINCK (MANAGING PARTNER) |
| Authorized Official Telephone | 5012278422 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Street Address |
9601 BAPTIST HEALTH DR SUITE 690 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760476378 | Renie E Bressinck | Dermatology | 9601 Baptist Health Dr, Suite 690, Little Rock, AR 72205-6328 | 2005-09-09 |
| 1770198848 | Deborah Christine Smith | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-09-14 |
| 1700491040 | Zachary Woerner | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-09-14 |
| 1518570993 | Amanda Greer Shelton | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-08-26 |
| 1528685807 | Courtney C Wilkinson | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-07-02 |
| 1932724655 | Tracy Elaine Baker | Physical Therapist | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-06-09 |
| 1205450681 | Lauren Ince | Dietitian, Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-06-02 |
| 1104446426 | Sharat Sasi | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-04-17 |
| 1679192942 | Jordan Scott Schnebly | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-04-15 |
| 1366061814 | Jenna Hutchins | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437475746 | Jennifer Kaley | Pathology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2010-04-12 |
| 1548582182 | Sara Shalin | Pathology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2010-02-24 |
| 1588709620 | Jameel Ahmad Brown | Pathology | 9601 Baptist Health Dr, Suite 690, Little Rock, AR 72205-6328 | 2007-02-20 |
| 1376698126 | Wang Leung Cheung | Pathology | 4301 W Markham St # 517, Little Rock, AR 72205-7101 | 2007-01-24 |
| 1083704571 | Glen Baker | Pathology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629247747 | Kristopher Michael Mckay | Pathology | 4261 Stockton Drive, Suite 200, North Little Rock, AR 72117-2962 | 2008-02-22 |
| 1386867232 | Blazej Zbytek | Pathology | 260 Shoppingway Blvd, West Memphis, AR 72301-1734 | 2007-04-10 |
| 1255421749 | Kim Hiatt | Pathology | 9780 Maumelle Blvd, North Little Rock, AR 72113-6737 | 2006-10-13 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.