BOB E COGBURN MD PA


Address: 899 Burnett Dr, Mountain Home, AR 72653
Phone: 8704255354

BOB E COGBURN MD PA (NPI# 1891022596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891022596
Entity Type Organization
Organization Name BOB E COGBURN MD PA
Practice Address 899 Burnett Dr
Mountain Home
AR 72653
Mailing Address Po Box 369
Mountain Home
AR 72654
Practice Telephone 8704255354
Practice Fax Number 8704259656
Mailing Telephone 8704255354
Mailing Fax Number 8704259656
Enumeration Date 2009-11-17
Last Update Date 2009-12-14
Authorized Official Name BOB E COGBURN (OWNER/PRACTICING PHYSICIAN)
Authorized Official Telephone 8704255354
Authorized Official Credential MD, PA, DBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
C-4698 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 113246001 05

Office Location

Street Address 899 BURNETT DR
City MOUNTAIN HOME
State AR
Zip Code 72653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457368912 Tammy J Berke Psychologist 899 Burnett Dr, Mountain Home, AR 72653 2006-08-01
1083267504 Teresa K Apple Case Manager/Care Coordinator 899 Burnett Dr, Mountain Home, AR 72653-2909 2019-07-23
1689133530 Kathryn E Arnold Case Manager/Care Coordinator 899 Burnett Dr, Mountain Home, AR 72653-2909 2019-03-19
1487110136 Helen L Mansfield Case Manager/Care Coordinator 899 Burnett Dr, Mountain Home, AR 72653-2909 2019-02-19
1457828980 Cara Lynn Meisenheimer Case Manager/Care Coordinator 899 Burnett Dr, Mountain Home, AR 72653-2909 2018-11-02
1053888768 Ariel R Nations Counselor 899 Burnett Dr, Mountain Home, AR 72653-2909 2018-10-31
1306321658 Leisa Jean Blackwell Case Manager/Care Coordinator 899 Burnett Dr, Mountain Home, AR 72653-2909 2018-10-02
1598125536 Brenda Reed Licensed Practical Nurse 899 Burnett Dr, Mountain Home, AR 72653 2016-03-03
1710361464 Whitney Hill Reed Nurse Practitioner 899 Burnett Dr, Mountain Home, AR 72653 2015-07-13
1548674252 Jessica Coble Social Worker 899 Burnett Dr, Mountain Home, AR 72653-2909 2014-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619513934 Maranda Hickman Physical Therapy Assistant 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 2019-11-21
1659929156 Gale E Bacan Technician 1703 Monroe Ave, Mountain Home, AR 72653 2019-08-28
1891259321 Kidspiration Pediatric Therapy Services Clinic/Center 710 Bradley Dr., Mountain Home, AR 72653 2019-01-29
1093279275 Piper's Vision Xpress, LLC Optometrist 50 Paul Wood Lane, Mountian Home, AR 72653 2019-01-22
1346769155 Heather Bollinger Nurse Practitioner 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 2017-09-12
1447774989 Natalie D Ahrent Physical Medicine & Rehabilitation 804 Coley Dr, Mountain Home, AR 72653 2017-07-26
1417486028 Andrew David Hatman Case Manager/Care Coordinator 1349 Hampshire Circle, Mountain Home, AR 72653 2017-06-07
1568848315 Taylor Chiropractic Plc Health Maintenance Organization 103 S Main St Ste 5, Mountain Home, AR 72653 2015-08-04
1942606306 Harps Food Stores, Inc Pharmacy 2089 Highway 62 West, Mountain Home, AR 72653 2014-11-13
1972920726 Lavonne Armstrong Counselor 8 Medical Plaza, Mountain Home, AR 72653 2014-03-18
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265899363 Baxter County Regional Hospital, Inc Internal Medicine 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 2016-01-20

Providers in the same taxonomy and state

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
1447298195 Frank J Panettiere Internal Medicine 1002 S 19th St, Rogers, AR 72758-4904 2006-06-03
1700846045 David A Nixon Internal Medicine 4808e Johnson Ave, Jonesboro, AR 72401-8413 2006-03-23
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Competitor

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City MOUNTAIN HOME
Zip Code 72653

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Dataset Information

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.

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