Mr Thomas Elias Cunningham, APRN | |
5305 W Village Pkwy Ste 12, Rogers, AR 72758-8116 | |
(479) 480-4892 | |
Not Available |
Full Name | Mr Thomas Elias Cunningham |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5305 W Village Pkwy Ste 12, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578780946 | NPI | - | NPPES |
200109330A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0057700 (Oklahoma) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | A03250 (Arkansas) | Primary |
Entity Name | Texarkana Behavioral Associates Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467483677 PECOS PAC ID: 9436062379 Enrollment ID: O20040223000353 |
Entity Name | Reding & Leach Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Elias Cunningham, APRN 14801 Park Ridge Drive, Lowell, AR 72745 Ph: (479) 295-6325 | Mr Thomas Elias Cunningham, APRN 5305 W Village Pkwy Ste 12, Rogers, AR 72758-8116 Ph: (479) 480-4892 |
Lauren Elizabeth Nueske, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Paige Lauren Davis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Mrs. Leah Marie Cossey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1194 W Walnut St, Rogers, AR 72756 Phone: 479-878-2550 Fax: 479-878-2555 | |
Annelise Cook, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 W Poplar St, Rogers, AR 72756 Phone: 479-636-9235 | |
Staci Herndon Gathright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 Rife Medical Lane, Suite 130, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533 | |
Walker Dyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S 42nd St, Ste 100, Rogers, AR 72758 Phone: 479-273-9173 Fax: 479-464-9989 | |
Starry Taylor Hubbell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030 |