LONNIE HARRISON, PA (NPI# 1881132363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881132363 |
| Entity Type | Organization |
| Organization Name | LONNIE HARRISON, PA |
| Practice Address |
1003 Schneider Dr Malvern AR 72104-4811 |
| Practice Telephone | 5013375678 |
| Practice Fax Number | 5013326759 |
| Mailing Telephone | 5013375678 |
| Mailing Fax Number | 5013326759 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | LONNIE E HARRISON (OWNER) |
| Authorized Official Telephone | 5013375678 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | C7481 | AR | Other Service Providers |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
C7481 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 115615001 | 05 |
| Street Address |
1003 SCHNEIDER DR |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275558918 | Absalom H Tilley | Internal Medicine | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2006-07-13 |
| 1376805911 | Mendy Beth Corter | Physician Assistant | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2012-06-11 |
| 1922230614 | Gina Zareena Khan Tilley | Family Medicine | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2009-08-14 |
| 1326282799 | Sarah Marie Williams | Nurse Practitioner | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2009-04-28 |
| 1609979426 | Dara M Mooney | Physician Assistant | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2006-09-07 |
| 1831108331 | Tilley Diagnostic Clinic | Internal Medicine | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497041982 | Jerson Munoz Mendoza | Internal Medicine | 3343 Springhill Dr Ste 1035, North Little Rock, AR 72117-2930 | 2011-06-22 |
| 1225126626 | Lensey Crashun Scott | Internal Medicine | 525 Western Ave Ste 202, Conway, AR 72034-4980 | 2006-10-11 |
| 1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
| 1306889407 | Loyd E Nugent | Internal Medicine | 2701 Se J St, Bentonville, AR 72712-4266 | 2006-06-14 |
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1508825647 | L. Parker Norris | Internal Medicine | 625 United Dr Ste 220, Conway, AR 72032-7835 | 2006-03-18 |
| 1740266998 | Vishwanatha S Nadig | Internal Medicine | 405 E Collin Raye Dr Ste C, De Queen, AR 71832 | 2005-12-20 |
| 1851386833 | Aldo Vicente Fonticiella | Internal Medicine | 619 W Grove St, El Dorado, AR 71730-4413 | 2005-09-15 |
| 1114919107 | Allan B Hatch | Internal Medicine | 1000 Highway 35 N, Suite 8, Benton, AR 72019-2351 | 2005-08-17 |
| 1437154036 | Jeffrey George Tauth | Internal Medicine | 110 Cracker Box Ln, Hot Springs National Park, AR 71913-5418 | 2005-06-20 |
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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.