DR. MITCHELL HERVERT (NPI# 1912431487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912431487 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL HERVERT |
| Credential | D.O. |
| Practice Address |
6066 Beaver Dam Ln Jonesboro AR 72404-9650 |
| Mailing Address |
10901 N Donnelly Ave Kansas City MO 64157-9232 |
| Practice Telephone | 8702077300 |
| Mailing Telephone | 3087504550 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E-12562 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
6066 BEAVER DAM LN |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-9650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| 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 |
|---|---|---|---|---|
| 1164919684 | Matthew Carpenter | Internal Medicine | Imrp Clinic 300 Carson Street, Jonesboro, AR 72401 | 2018-04-19 |
| 1538472246 | Ernest White Abernathy Jr. | Internal Medicine | 9026 Snipe Lane, Jonesboro, GA 30236 | 2010-07-22 |
| 1104137652 | Jason R. Casey, M.d., P.a. | Internal Medicine | 901 Osler Dr, Suite B, Jonesboro, AR 72401-4390 | 2010-06-30 |
| 1063698249 | Jaydeep Suresh Bhat | Internal Medicine | 2470 Mt. Zion Pkwy, Gastroenterology, Jonesboro, GA 30236 | 2008-01-17 |
| 1215074067 | Lydia K Alexander | Internal Medicine | Family Practice Health Care Team A, 2400 Mount Zion Parkway, Jonesboro, GA 30236 | 2007-01-31 |
| 1518011915 | Kabir A Quadir | Internal Medicine | Department of Gastroenterology, 2470 Mount Zion Parkway, Jonesboro, GA 30236 | 2007-01-22 |
| 1316013311 | Rosemary L Muoneke | Internal Medicine | Department of Nephrology, 2400 Mount Zion Parkway, Jonesboro, GA 30236 | 2006-11-28 |
| 1093726333 | General Lee Cranfill IIi | Internal Medicine | 615 E Matthews, Ste C, Jonesboro, AR 72401 | 2006-08-11 |
| 1265463277 | Clayton Healthcare, P.C. | Internal Medicine | 3139 Bay View Dr, Jonesboro, GA 30236-4139 | 2006-07-06 |
| 1275572190 | Oluropo A Ayeni | Internal Medicine | 2759 Mount Zion Pkwy, Suite C, Jonesboro, GA 30236-2568 | 2006-06-06 |
| Find all providers in JONESBORO | ||||
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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.