TRACE NATHANIEL GARNER (NPI# 1982921391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982921391 |
Entity Type | Individual |
Full Name | TRACE NATHANIEL GARNER |
Credential | M.D. |
Practice Address |
766 H L Ross Dr Monticello AR 71655-5706 |
Mailing Address |
10100 Kanis Rd Little Rock AR 72205-6202 |
Practice Telephone | 8704124302 |
Practice Fax Number | 8704124178 |
Mailing Telephone | 5012556000 |
Mailing Fax Number | 5012556400 |
Enumeration Date | 2010-04-24 |
Last Update Date | 2019-01-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E-8037 | AR | Allopathic & Osteopathic Physicians |
Street Address |
766 H L ROSS DR |
City | MONTICELLO |
State | AR |
Zip Code | 71655-5706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770519100 | Mckiever Clinic | Clinic/Center | 766 H L Ross Dr, Monticello, AR 71655-5706 | 2006-06-25 |
1568742401 | Channoah Mckindra Williams | Nurse Practitioner | 766 H L Ross Dr, Monticello, AR 71655-5706 | 2011-08-24 |
1659387140 | William R Mckiever | Family Medicine | 766 H L Ross Dr, Monticello, AR 71655-5706 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
Find all providers in zip 71655 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1285729111 | Cardiac Disease Specialists, PC | Internal Medicine | 898 College St, Monticello, GA 31064-1261 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316580996 | Hmdod LLC | Internal Medicine | 403 W Oak St Ste 101, El Dorado, AR 71730-4573 | 2019-10-25 |
1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
1083160899 | Baptist Health | Internal Medicine | 625 United Dr, Suite 220, Conway, AR 72032-7826 | 2016-08-31 |
1467820928 | Octavio Herrera-verdugo | Internal Medicine | 1225 Breckenridge Dr Ste 110, Little Rock, AR 72205-1565 | 2015-09-14 |
1225389588 | Van Buren Hma, LLC | Internal Medicine | 2010 Chestnut St Ste 1, Van Buren, AR 72956-5321 | 2012-09-27 |
1902163389 | Central Arkansas Heart Center | Internal Medicine | 650 United Drive, Ste 300, Conway, AR 72032 | 2012-04-23 |
1356635411 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 2790 Bella Vista Way, Bella Vista, AR 72714-3706 | 2011-06-07 |
1124317854 | Wesley Martin Fiser | Internal Medicine | 9501 Baptist Health Dr Ste 600, Little Rock, AR 72205 | 2011-04-04 |
1821307943 | James William Wilson | Internal Medicine | 1000 Miller Creek Rd., Batesville, AR 72501 | 2010-10-07 |
1861706046 | Yazan Zuhair Ghosheh | Internal Medicine | 4000 Richards Rd Ste A, North Little Rock, AR 72117-2939 | 2010-07-30 |
Find all providers with the same taxonomy |
City | MONTICELLO |
Zip Code | 71655 |
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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.