ARKANSAS UROLOGY CLINIC, LTD (NPI# 1912032657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912032657 |
| Entity Type | Organization |
| Organization Name | ARKANSAS UROLOGY CLINIC, LTD |
| Practice Address |
1150 E Matthews Ave Suite 203 Jonesboro AR 72401-4314 |
| Practice Telephone | 8709328674 |
| Practice Fax Number | 8709322005 |
| Mailing Telephone | 8709328674 |
| Mailing Fax Number | 8709322005 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN MELVIN ALLEN (PRESIDENT) |
| Authorized Official Telephone | 8709328674 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MC0918 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
1150 E MATTHEWS AVE SUITE 203 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121635 | Pediatric Associates of Jonesboro, Pllc | Pediatrics | 1150 E Matthews Ave, Suite 101, Jonesboro, AR 72401-4314 | 2005-08-15 |
| 1861937518 | Axpm Jonesboro Pedo, Pllc | Dentist | 1150 E Matthews Ave, Ste 102, Jonesboro, AR 72401-4346 | 2017-01-04 |
| 1518356013 | Tomorrow Atkins Potter | Nurse Practitioner | 1150 E Matthews Ave, Ste 101, Jonesboro, AR 72401-4346 | 2015-01-21 |
| 1649512146 | Maryjoanne Chinyem Umeora | Pediatrics | 1150 E Matthews Ave, Ste 101, Jonesboro, AR 72401-4346 | 2013-03-22 |
| 1295065852 | Jonesboro Plastic Surgery Associates Inc | Plastic Surgery | 1150 E Matthews Ave, Ste 201, Jonesboro, AR 72401-4346 | 2010-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386986222 | Chul Nam Lee | Urology | 2016 Pine Forest Ct, Jonesboro, GA 30236-5416 | 2013-03-18 |
| 1487972527 | Rudolph Noah Bowens Jr. | Urology | 303 E Matthews Ave Ste 100, Jonesboro, AR 72401-3113 | 2010-05-13 |
| 1437348745 | Enoch Walden Williams | Urology | 3817 S Culberhouse Rd, Jonesboro, AR 72404-9067 | 2007-10-23 |
| 1871568303 | David W Lazan | Urology | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2006-02-20 |
| 1053383174 | Joseph C Kueter | Urology | 303 E Matthews Ave, Suite 200, Jonesboro, AR 72401-3150 | 2006-02-02 |
| 1790116150 | St. Bernards Urology Associates, Inc. | Urology | 303 E Matthews Ave, Jonesboro, AR 72401-3150 | 2013-12-10 |
| 1558673889 | Emily Jacobs | Urology | 303 E Matthews Ave, Suite 100, Jonesboro, AR 72401-3150 | 2010-07-01 |
| 1568505543 | John Melvin Allen | Urology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2007-02-15 |
| 1578606109 | Michael Laurence Suminski | Urology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2007-02-14 |
| 1396717534 | Medical Plaza Urology Associates | Urology | 303 E Matthews Ave, Suite 200, Jonesboro, AR 72401-3150 | 2006-02-02 |
| Find all providers in JONESBORO | ||||
Please comment or provide details below to improve the information on ARKANSAS UROLOGY CLINIC, LTD.
| 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.