Dr James T Clark Jr, MD | |
2302 College Ave, Conway, AR 72034-6297 | |
(501) 513-5793 | |
(501) 513-5417 |
Full Name | Dr James T Clark Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2302 College Ave, Conway, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548257017 | NPI | - | NPPES |
102222002 | Medicaid | AR | |
103080001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | C6391 (Arkansas) | Primary |
Entity Name | Conway Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417024662 PECOS PAC ID: 3173428414 Enrollment ID: O20050825001031 |
Mailing Address | Practice Location Address |
---|---|
Dr James T Clark Jr, MD 2302 College Ave, Conway, AR 72034-6297 Ph: (501) 513-5793 | Dr James T Clark Jr, MD 2302 College Ave, Conway, AR 72034-6297 Ph: (501) 513-5793 |
Dr. Jesse E Clanton, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2302 College Ave, Conway, AR 72034 Phone: 501-513-5793 Fax: 501-513-5417 | |
William C Pittman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Skyline Dr, Conway, AR 72032 Phone: 501-358-6120 Fax: 501-358-6268 | |
Dr. Stephen Hudson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2302 College Ave, Conway, AR 72034 Phone: 501-513-5793 | |
Dr. Earl W Feurtado Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2302 College Ave, Conway, AR 72034 Phone: 501-513-5793 | |
Dr. Robert Thomas Vanhook, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3900 Dave Ward Dr Ste 1900, Pmb # 181, Conway, AR 72034 Phone: 501-764-4322 Fax: 501-764-4312 | |
Tyler Welch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1555 Exchange Ave, Conway, AR 72032 Phone: 501-585-2000 | |
Dr. Jordan Hunter White, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Exchange Ave, Conway, AR 72032 Phone: 501-202-4335 |