DR. JOSEPH A ZITTERMAN JR. (NPI# 1801840202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801840202 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH A ZITTERMAN JR. |
| Credential | MD |
| Practice Address |
Freedom House 400 Lake Front Drive Russellville AR 72802 |
| Mailing Address |
400 Lake Front Dr Russellville AR 72802-2206 |
| Practice Telephone | 4792233333 |
| Mailing Telephone | 4792233333 |
| Mailing Fax Number | 4795675078 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M7888 | AR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD00041834 | WA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD00041834 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8359994 | 05 | |
| WA | DEPT OF LABOR & INDUSTRY | 0194984 | 01 |
| Street Address |
FREEDOM HOUSE 400 LAKE FRONT DRIVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174715296 | Russellville Internal Medicine PC | Internal Medicine | 535 Gandy St Ne, Russellville, AL 35653-1965 | 2007-08-13 |
| 1154332963 | Russellville Hospital, LLC | Internal Medicine | 531 Gandy St Ne, Russellville, AL 35653-1965 | 2006-08-10 |
| 1437158243 | James Carlisle Dodson | Internal Medicine | 147 E 5th St, Russellville, KY 42276-1903 | 2005-07-14 |
| 1578176194 | Noydeen Medical Group- Russellville | Internal Medicine | 1605 W Main St, Russellville, AR 72801-2719 | 2020-08-24 |
| 1033671631 | Russellville Hospital Inc | Internal Medicine | 15225 Highway 43 Ste I, Russellville, AL 35653-1969 | 2019-04-02 |
| 1013408053 | Logan Physician Practice LLC | Internal Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2018-05-25 |
| 1669861662 | Russellville Physicians LLC | Internal Medicine | 15225 Highway 43, Russellville, AL 35653-1999 | 2015-01-13 |
| 1174956841 | Russellville Physician Practices LLC | Internal Medicine | 15225 Highway 43, Suite G, Russellville, AL 35653-1999 | 2013-08-16 |
| 1629336078 | Jonathan David Brixey | Internal Medicine | 101 Skyline Dr, Russellville, AR 72801-3363 | 2012-04-23 |
| 1689956500 | Russellville Physician Practices LLC | Internal Medicine | 15225 Highway 43, Suite B, Russellville, AL 35653-1999 | 2011-09-16 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
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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.