Active NPI
Robert Corey Paladino, NP-C
- Family Nurse Practitioner
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 123566
- Practice address
- 655 Dave Ward Dr
Conway, AR 72034-7083 - Phone
- (501) 209-4040
- NPI assigned
- Mar 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 123566 | AR | |
| Family Nurse Practitioner | 363LF0000X | 123566 | AR | Primary |
Addresses
Primary practice location
655 Dave Ward Dr
Conway, AR 72034-7083
Mailing address
655 Dave Ward Dr
Conway, AR 72034-7083
Phone (501) 209-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1808 W Main St
Russellville, AR 72801-2724
Phone (501) 968-2841
2302 College Ave
Conway, AR 72034-6297
Phone (501) 329-3831
Hospital & facility affiliations
- Conway Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123566 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Faulkner Emergency Group, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
2302 College Ave
Conway, AR 72034
Phone (501) 329-3831
1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Conway, AR
- NPI 1083279533
Nurse Practitioner
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
AR, Nurse Practitioner
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
AR, Nurse Practitioner
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1366076010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 DAVE WARD DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347083",
"telephone_number": "501-209-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 DAVE WARD DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347083",
"telephone_number": "501-209-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALADINO",
"first_name": "ROBERT",
"middle_name": "COREY",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-02",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "123566",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "123566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.