DR. MARK ALAN KENDALL (NPI# 1982778155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982778155 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN KENDALL |
| Credential | MD |
| Practice Address |
1502 Se 28th St Suite 4 Bentonville AR 72712-3988 |
| Mailing Address |
4905 S 45th St Rogers AR 72758-8935 |
| Practice Telephone | 4794649191 |
| Practice Fax Number | 4794648840 |
| Mailing Telephone | 4794649191 |
| Mailing Fax Number | 4794648840 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | E3659 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS BCBS | 5M701 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205497823 | Mark Kendall | Physical Medicine & Rehabilitation | 2960 Eldorado Pkwy Ste 75, Mckinney, TX 75070-7500 | 2019-06-25 |
| 1184139404 | Mark Kendall | Massage Therapist | 7704 Northcrest Blvd # B, Austin, TX 78752-1416 | 2017-12-08 |
| 1255319851 | Mark A Kendall | Chiropractor | 1203 N Commerce Rd, Bay Pointe Chiropractic, Commerce, MI 48382-2610 | 2006-01-04 |
| Street Address |
1502 SE 28TH ST SUITE 4 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-3988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780663872 | Dorothy L Mellon | Specialist | 1502 Se 28th St, Suite 6, Bentonville, AR 72712-3988 | 2006-01-17 |
| 1194223891 | Melissa Ann Campbell | Nurse Practitioner | 1502 Se 28th St, Bentonville, AR 72712-3988 | 2018-01-28 |
| 1568811149 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 1502 Se 28th St, Bentonville, AR 72712-3988 | 2016-06-06 |
| 1013069699 | Robert Caton Baker | Anesthesiology | 1502 Se 28th St, Suite 8, Bentonville, AR 72712-3988 | 2007-01-17 |
| 1790869642 | Richard Slater Kyle | Neurological Surgery | 1502 Se 28th St, Suite 2, Bentonville, AR 72712-3988 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023372208 | Plastic Surgery Center of Nwa, P.a. | Plastic Surgery | 2900 Medical Center Pkwy, Suite 220, Bentonville, AR 72712-3204 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750706420 | Robert Vogel | Plastic Surgery | 54 Longlea Ct, Little Rock, AR 72212-2767 | 2014-03-04 |
| 1114351970 | Norton Allen Pope | Plastic Surgery | 76 Robinwood Dr, Little Rock, AR 72227-2222 | 2013-08-29 |
| 1710291299 | The Center for Plastic Surgery, Plc | Plastic Surgery | 3733 N Business Dr Ste 102, Fayetteville, AR 72703-5286 | 2010-07-27 |
| 1346570272 | Eugene Fontaine Still II | Plastic Surgery | 8416 Mile Tree Dr, Fort Smith, AR 72903-4319 | 2009-12-25 |
| 1962648980 | R. Douglas Vanderpool | Plastic Surgery | 2552 E. Joyce Blvd., Suite B, Fayetteville, AR 72703-4553 | 2008-12-22 |
| 1568666444 | Plastic Surgery and Hand Center of Nwa, Plc | Plastic Surgery | 3333 Pinnacle Hills Parkway, Suite 300, Rogers, AR 72758-9000 | 2007-06-13 |
| 1790809002 | Michael Andrew Devlin | Plastic Surgery | 10801 Executive Center Drive, Suite 303, Little Rock, AR 72211 | 2007-03-19 |
| 1508994393 | Roger Wilbert Anderson | Plastic Surgery | 2200 N Rodney Parham Rd, Suite 200, Little Rock, AR 72212-4140 | 2007-03-01 |
| 1013952365 | Connie L Hiers | Plastic Surgery | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2006-06-19 |
| 1033161609 | Gary E Talbert | Plastic Surgery | 9500 Kanis Road, Ste 501, Little Rock, AR 72205 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.