GENESISCARE LANDMARK ARKANSAS CANCER CARE PA (NPI# 1770194441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770194441 |
| Entity Type | Organization |
| Organization Name | GENESISCARE LANDMARK ARKANSAS CANCER CARE PA |
| Practice Address |
2526 S Pinnacle Hills Pkwy Rogers AR 72758-8939 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 4792718900 |
| Practice Fax Number | 4797158060 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | JEFFREY T. TRIPLETT (PRESIDENT) |
| Authorized Official Telephone | 4792718900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295972 | Genesiscare Landmark Arkansas Cancer Care Pa | Radiology | 2526 S Pinnacle Hills Pkwy, Rogers, AR 72758-8939 | 2020-08-12 |
| Street Address |
2526 S PINNACLE HILLS PKWY |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-8939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083667737 | Simeon Jaggernauth | Internal Medicine | 2526 S Pinnacle Hills Pkwy, Rogers, AR 72758-8939 | 2006-05-17 |
| 1780295972 | Genesiscare Landmark Arkansas Cancer Care Pa | Radiology | 2526 S Pinnacle Hills Pkwy, Rogers, AR 72758-8939 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447298195 | Frank J Panettiere | Internal Medicine | 1002 S 19th St, Rogers, AR 72758-4904 | 2006-06-03 |
| 1033180229 | Daniel S Bradford | Internal Medicine | 808 S 52nd St, Rogers, AR 72758-8602 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356729016 | Oasis Healthcare Corporation | Internal Medicine | 112 Sezanne Ct, Little Rock, AR 72223-5095 | 2015-05-14 |
| 1487053484 | Faith E Davies | Internal Medicine | 4301 W.markham Street, Mail Slot 816, Little Rock, AR 72205-7199 | 2014-08-15 |
| 1942516182 | Carolina D Schinke | Internal Medicine | 4301 W Markham St # 816, Little Rock, AR 72205-7101 | 2010-08-25 |
| 1093986358 | South Arkansas Hematology & Oncology Clinic Pa | Internal Medicine | 1716 Doctor Dr., Pine Bluff, AR 71603-6367 | 2008-03-14 |
| 1548317340 | Lynsay Leighanne Brautnick | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2007-01-04 |
| 1629175922 | Manjusha Kota | Internal Medicine | 180 Medical Park Pl Ste 201, Hot Springs, AR 71901 | 2006-09-20 |
| 1063526614 | Abid Mohiuddin | Internal Medicine | 7200 S. Hazel, Arkansas Cancer Institute, Pine Bluff, AR 71603-7836 | 2006-08-19 |
| 1871607770 | Ahmad Mazen Safar | Internal Medicine | 805 Loyola Dr, Little Rock, AR 72211-5520 | 2006-08-18 |
| 1700846045 | David A Nixon | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-23 |
| 1689643751 | Ronald J Blachly | Internal Medicine | 4808 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| 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.