CLAYTON MICHAEL KIIHNL (NPI# 1922231307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922231307 |
Entity Type | Individual |
Full Name | CLAYTON MICHAEL KIIHNL |
Credential | PA-C |
Practice Address |
501 Virginia Dr Suite C Batesville AR 72501-7331 |
Practice Telephone | 8707932371 |
Practice Fax Number | 8707937585 |
Mailing Telephone | 8707932371 |
Mailing Fax Number | 8707937585 |
Enumeration Date | 2009-09-01 |
Last Update Date | 2011-03-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA382 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | LICENSE | PA382 | 01 |
AR | PALMETTO GBA RAILROAD | P00889919 | 01 |
Street Address |
501 VIRGINIA DR SUITE C |
City | BATESVILLE |
State | AR |
Zip Code | 72501-7331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124097209 | Todd Mark Rumans | Otolaryngology | 501 Virginia Dr, Suite A, Batesville, AR 72501-7317 | 2006-03-14 |
1861935504 | Jessica Moody | Nurse Practitioner | 501 Virginia Dr, Batesville, AR 72501-7331 | 2016-11-29 |
1306216817 | Batesville Hearing Center, Pllc | Audiologist | 501 Virginia Dr, Suite D, Batesville, AR 72501-7331 | 2015-09-28 |
1831567999 | David L. Posey, M.d., Pllc | Surgery | 501 Virginia Dr, Suite B, Batesville, AR 72501-7331 | 2015-09-07 |
1265821193 | White River Health System, Inc. | Orthopaedic Surgery | 501 Virginia Dr, C, Batesville, AR 72501-7331 | 2015-01-15 |
1962836213 | Carla Jean Smith | Nurse Practitioner | 501 Virginia Dr, Suite A, Batesville, AR 72501-7331 | 2013-08-22 |
1417398678 | White River Health System, Inc | Orthopaedic Surgery | 501 Virginia Dr, Suite C, Batesville, AR 72501-7331 | 2013-07-16 |
1659565729 | David Loren Yarnell | Surgery | 501 Virginia Dr, Suite A, Batesville, AR 72501-7331 | 2007-08-31 |
1841371465 | Batesville Surgery Specialties Clinic | Clinic/Center | 501 Virginia Dr, Suite A, Batesville, AR 72501-7331 | 2006-10-18 |
1033175138 | James Davis Allen | Orthopaedic Surgery | 501 Virginia Dr, Suite C, Batesville, AR 72501-7331 | 2006-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
Find all providers in zip 72501 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033650817 | Dickson Orthopedics, Pa | Physician Assistant | 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632 | 2017-03-14 |
1912455387 | Anthony D Long Jr. | Physician Assistant | 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 | 2016-09-14 |
1215233887 | Joshua Anthony Trinkle | Physician Assistant | 224 W. Erie Ave, Harrison, AR 72601 | 2011-01-31 |
1831391655 | Mandy Suzanne Mooneyham | Physician Assistant | 3053 N College Ave, Fayetteville, AR 72703-3417 | 2007-06-04 |
1487252755 | David M Street | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2020-10-09 |
1407460843 | Alexandra Paige Brown | Physician Assistant | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2020-09-02 |
1881158517 | Jordan Lane Milam | Physician Assistant | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2019-01-28 |
1790252286 | Allison Henry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-11-01 |
1649755133 | Hillary Michelle Mayberry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-10-01 |
1013417518 | Corey Carver | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2018-02-20 |
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City | BATESVILLE |
Zip Code | 72501 |
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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.