| White River Health Neurology | |
|
1699 Harrison St Suite D Batesville AR 72501-7302 | |
| (870) 793-5200 | |
| (870) 793-5277 |
| Full Name | White River Health Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1699 Harrison St, Batesville, Arkansas |
| Authorized Official Name and Position | Shawna Baxter (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8702625545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Health Neurology 1699 Harrison St Ste D Batesville AR 72501-7318 Ph: (870) 262-5545 | White River Health Neurology 1699 Harrison St Suite D Batesville AR 72501-7302 Ph: (870) 793-5200 |
| NPI Number | 1235101601 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 0143134270 |
|---|---|
| Medicare Enrollment ID | O20031204000986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235101601 | NPI | - | NPPES |
| 152070002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Hunter L Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831168913 PECOS PAC ID: 8426008939 Enrollment ID: I20050124000057 |
| Provider Name | Robert Guy Hale |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245209485 PECOS PAC ID: 9638120553 Enrollment ID: I20050209000432 |
| Provider Name | John S Lambert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285614958 PECOS PAC ID: 7810099512 Enrollment ID: I20080418000067 |
| Provider Name | David L Yarnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659565729 PECOS PAC ID: 2466576376 Enrollment ID: I20100830000705 |
| Provider Name | Robert Emery |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619945714 PECOS PAC ID: 9234201047 Enrollment ID: I20101007000112 |
| Provider Name | Todd Mark Rumans |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124097209 PECOS PAC ID: 7618163916 Enrollment ID: I20101129000985 |
| Provider Name | Michelle L Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063710564 PECOS PAC ID: 0749466993 Enrollment ID: I20110524000104 |
| Provider Name | Deanna M Nast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881983112 PECOS PAC ID: 1254500531 Enrollment ID: I20110802000466 |
| Provider Name | Carla Jean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962836213 PECOS PAC ID: 7113153289 Enrollment ID: I20131119001582 |
| Provider Name | Carmela Gonzales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699904623 PECOS PAC ID: 4385864198 Enrollment ID: I20140930000198 |
| Provider Name | Anthony Milard Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336474535 PECOS PAC ID: 1052563384 Enrollment ID: I20151210001785 |
| Provider Name | Philip Pack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548558612 PECOS PAC ID: 0042598021 Enrollment ID: I20161026000364 |
| Provider Name | Jerrod R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013302587 PECOS PAC ID: 7618283805 Enrollment ID: I20170221000594 |
| Provider Name | Myra Colleen Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831547421 PECOS PAC ID: 5799069100 Enrollment ID: I20170303000391 |
| Provider Name | Jessica Shea Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861935504 PECOS PAC ID: 9335426006 Enrollment ID: I20170505001028 |
| Provider Name | John Roland Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528386752 PECOS PAC ID: 1557640943 Enrollment ID: I20170607002400 |
| Provider Name | Mantinderpreet Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689089625 PECOS PAC ID: 1658627492 Enrollment ID: I20180709002191 |
| Provider Name | Jean Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265759716 PECOS PAC ID: 3577879535 Enrollment ID: I20200318000456 |
| Provider Name | Olga Zhadan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679988133 PECOS PAC ID: 1951528108 Enrollment ID: I20200619001613 |
| Provider Name | Luke J Edgecombe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215323431 PECOS PAC ID: 5890033880 Enrollment ID: I20200728000258 |
| Provider Name | Gretchin Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629688247 PECOS PAC ID: 2365868577 Enrollment ID: I20200819000943 |
| Provider Name | Stephanie Kekulawela |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396979175 PECOS PAC ID: 1355645755 Enrollment ID: I20210205001980 |
| Provider Name | Jennifer Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316672116 PECOS PAC ID: 2668854266 Enrollment ID: I20220728003184 |
| Provider Name | Sarah Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346989787 PECOS PAC ID: 7719337278 Enrollment ID: I20231222003110 |
Evergreen Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 E Main St, Batesville, AR 72501 Phone: 870-793-8919 Fax: 870-793-8968 | |
Mid South Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Gap Rd, Batesville, AR 72501 Phone: 870-919-3381 | |
Gray's Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 E Main St, Batesville, AR 72501 Phone: 870-793-8900 | |
Nikki Penn Counseling And Consulting, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1275 E College St, Batesville, AR 72501 Phone: 870-793-0071 Fax: 888-683-9687 | |
Conway County Community Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Harrison St, Batesville, AR 72501 Phone: 870-569-5112 Fax: 870-569-5113 | |
Life Strategies Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Batesville Blvd Ste C, Batesville, AR 72501 Phone: 870-793-3199 Fax: 870-793-3151 |