KATIE DEFORE (NPI# 1932220902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932220902 |
| Entity Type | Individual |
| Full Name | KATIE DEFORE |
| Credential | MD |
| Practice Address |
225 E Jackson Ave Jonesboro AR 72401-3119 |
| Practice Telephone | 8709724100 |
| Mailing Telephone | 8709724100 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
E4912 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE LICENSE | 0101245807 | 01 |
| VA | 1932220902 | 05 |
| Street Address |
225 E JACKSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878867 | Richard R Reinholtz | Radiology | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2005-06-01 |
| 1528668241 | David Daniel Joel Hoffman II | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-10-30 |
| 1003425315 | Jesse Ash | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-07-23 |
| 1205457090 | Linda Gail Brown | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-05-03 |
| 1225689151 | Rocio Emy Roades | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-09-23 |
| 1992350730 | Leslie Britton | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-08-08 |
| 1538729116 | Leah Gathright | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-06-17 |
| 1831753243 | Katherine Ann Mcfarlin | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-05-01 |
| 1336602549 | Terrance Matthew Kane | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-13 |
| 1841753324 | Aldo Giovanni Estella | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-10 |
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| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1528055449 | David R Nichols | Internal Medicine | 1835 Grant Ave, Nea Clinic, Jonesboro, AR 72403-1960 | 2005-10-05 |
| 1790909943 | Owen Keith Criner | Internal Medicine | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2007-04-12 |
| 1720040470 | Meredith M. Walker | Internal Medicine | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-06 |
| 1336118314 | William S Hubbard | Internal Medicine | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| 1710973979 | Jeffrey O Cohen | Internal Medicine | 300 Carson St, Jonesboro, AR 72401-3104 | 2005-09-23 |
| 1538155791 | Mark Dewey Sifford | Internal Medicine | 300 Carson St, Jonesboro, AR 72401-3104 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031714 | Nizar Suleman Md LLC | Internal Medicine | 115 Summertime Bay, Hot Springs, AR 71913-1839 | 2020-04-13 |
| 1609317429 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr Ste 900, Little Rock, AR 72205-6331 | 2017-03-13 |
| 1801207857 | Nathan Thomas Hill | Internal Medicine | 5800 W 10th St Ste 610, Little Rock, AR 72204-1761 | 2014-05-13 |
| 1801235304 | Alok Surana | Internal Medicine | 525 Western Ave Ste 305, Conway, AR 72034-4982 | 2013-06-18 |
| 1831445261 | Krishna Siva Sai Kakkera | Internal Medicine | 16 Hospital Cir Ste A, Batesville, AR 72501-7343 | 2012-08-03 |
| 1538460951 | Muhammad Qasim Salar Mir | Internal Medicine | 2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 | 2010-11-17 |
| 1134385735 | Janice J Gunnels | Internal Medicine | 238 Marsh Harbor Dr, Hot Springs, AR 71913-7766 | 2008-08-03 |
| 1215196233 | Shahla Gul Naoman | Internal Medicine | 16 Hospital Cir, Batesville, AR 72501-7343 | 2008-06-05 |
| 1396954228 | Jefferson Pulm Cc Pa | Internal Medicine | 606 Roberts Drive, Monticello, AR 71655 | 2007-05-21 |
| 1104981737 | William Lee Mason | Internal Medicine | Pob 1437 Slot H-61, Arkansas Dept of Health, Little Rock, AR 72203-1437 | 2006-12-26 |
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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.