| Access Medical Clinic Arkansas Llc | |
|
106 Highway 62 W Salem AR 72576-8059 | |
| (870) 895-2015 | |
| Not Available |
| Full Name | Access Medical Clinic Arkansas Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Highway 62 W, Salem, Arkansas |
| Authorized Official Name and Position | Bradley Bibb (CEO) |
| Authorized Official Contact | 8709947301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Medical Clinic Arkansas Llc 101 W Main St Hardy AR 72542-9566 Ph: () - | Access Medical Clinic Arkansas Llc 106 Highway 62 W Salem AR 72576-8059 Ph: (870) 895-2015 |
| NPI Number | 1578007647 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 02/03/2020 |
| Medicare PECOS PAC ID | 5890077093 |
|---|---|
| Medicare Enrollment ID | O20170124001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578007647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | John Scribner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972672897 PECOS PAC ID: 0840281820 Enrollment ID: I20040519000763 |
| Provider Name | Kristi Statler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639136609 PECOS PAC ID: 6204810773 Enrollment ID: I20040614001504 |
| Provider Name | Johnathan W Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699741298 PECOS PAC ID: 7214911627 Enrollment ID: I20040615000200 |
| Provider Name | Randy J Pastor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710983465 PECOS PAC ID: 4688658412 Enrollment ID: I20040617000804 |
| Provider Name | Donald Stratton Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851385793 PECOS PAC ID: 4688659998 Enrollment ID: I20040621001865 |
| Provider Name | Neeraj Bharany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497751390 PECOS PAC ID: 8628055704 Enrollment ID: I20040707000205 |
| Provider Name | Suh N Niba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528013851 PECOS PAC ID: 9436139292 Enrollment ID: I20040722000347 |
| Provider Name | Nathan W Turney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346207115 PECOS PAC ID: 1759361421 Enrollment ID: I20040722001149 |
| Provider Name | Elva J Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245291301 PECOS PAC ID: 9638065733 Enrollment ID: I20040824001434 |
| Provider Name | John E Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902888720 PECOS PAC ID: 5597679332 Enrollment ID: I20040825000532 |
| Provider Name | Jessica Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366508756 PECOS PAC ID: 5698733301 Enrollment ID: I20041228000807 |
| Provider Name | Debra D Wilhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992775878 PECOS PAC ID: 0749232452 Enrollment ID: I20050318000866 |
| Provider Name | Mark Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895911 PECOS PAC ID: 3375584931 Enrollment ID: I20050513000647 |
| Provider Name | Timothy Simmons |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1134219603 PECOS PAC ID: 9830114438 Enrollment ID: I20051012001151 |
| Provider Name | Bilal Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316901994 PECOS PAC ID: 1951315811 Enrollment ID: I20060130000863 |
| Provider Name | Verona T Brown-bebow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255436549 PECOS PAC ID: 0648278770 Enrollment ID: I20061127000389 |
| Provider Name | Charles W Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154374932 PECOS PAC ID: 4082710066 Enrollment ID: I20070508000545 |
| Provider Name | Brian Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407846868 PECOS PAC ID: 1456458819 Enrollment ID: I20070518000224 |
| Provider Name | Brannon Anthony Treece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588783666 PECOS PAC ID: 0345340956 Enrollment ID: I20070712000014 |
| Provider Name | David G Fulghum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699881698 PECOS PAC ID: 4789666108 Enrollment ID: I20071210000308 |
| Provider Name | Terri Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750577698 PECOS PAC ID: 3678658473 Enrollment ID: I20080304000338 |
| Provider Name | Clay Walt Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518962968 PECOS PAC ID: 1951482637 Enrollment ID: I20080520000895 |
| Provider Name | David W Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306995527 PECOS PAC ID: 9133292923 Enrollment ID: I20081030000405 |
| Provider Name | Joseph R Jansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376556746 PECOS PAC ID: 0648321448 Enrollment ID: I20090707000361 |
| Provider Name | Bruce K Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952497240 PECOS PAC ID: 8123007192 Enrollment ID: I20100202000193 |
| Provider Name | Pamela Marie Mounce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255654331 PECOS PAC ID: 8527193028 Enrollment ID: I20100323000629 |
| Provider Name | Shane R Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538134572 PECOS PAC ID: 1557428364 Enrollment ID: I20100728001183 |
| Provider Name | Christopher O Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255397006 PECOS PAC ID: 2365344587 Enrollment ID: I20100825000726 |
| Provider Name | Timothy C Paden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992761555 PECOS PAC ID: 4587740725 Enrollment ID: I20101019001418 |
| Provider Name | Dale E Goins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063402485 PECOS PAC ID: 8921295809 Enrollment ID: I20101203000811 |
| Provider Name | Angela Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174613962 PECOS PAC ID: 4587851381 Enrollment ID: I20101206000978 |
| Provider Name | Hapsy D Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568763514 PECOS PAC ID: 3173702479 Enrollment ID: I20110119000248 |
| Provider Name | Brandon M. Thurow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033346358 PECOS PAC ID: 4688853203 Enrollment ID: I20110127000674 |
| Provider Name | Kimberly D Burner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487704524 PECOS PAC ID: 8729263926 Enrollment ID: I20110504000191 |
| Provider Name | Deana M Caststeel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205884640 PECOS PAC ID: 6204001175 Enrollment ID: I20111206000098 |
| Provider Name | Hope E Rowe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629362892 PECOS PAC ID: 1355516725 Enrollment ID: I20111213000805 |
| Provider Name | Susan L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437410545 PECOS PAC ID: 8022265222 Enrollment ID: I20120823000090 |
| Provider Name | Amanda J Cowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467891945 PECOS PAC ID: 1658514880 Enrollment ID: I20130906000598 |
| Provider Name | Randi L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740622497 PECOS PAC ID: 7517101546 Enrollment ID: I20130913000142 |
| Provider Name | Kelly Leshell Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104169895 PECOS PAC ID: 0446485809 Enrollment ID: I20131021001673 |
| Provider Name | Mary A Pugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831359082 PECOS PAC ID: 9739360504 Enrollment ID: I20140613000416 |
| Provider Name | Pamela R Hughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366839136 PECOS PAC ID: 6305165796 Enrollment ID: I20150506002324 |
| Provider Name | Heron B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932591617 PECOS PAC ID: 7517287972 Enrollment ID: I20150526002459 |
| Provider Name | Laurel Tait |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831119676 PECOS PAC ID: 4880790237 Enrollment ID: I20150824002123 |
| Provider Name | Candice M Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861872699 PECOS PAC ID: 8123334851 Enrollment ID: I20150826000992 |
| Provider Name | Jennifer Tetirick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093193823 PECOS PAC ID: 4981910486 Enrollment ID: I20150828001427 |
| Provider Name | Jennifer Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568845071 PECOS PAC ID: 9335456060 Enrollment ID: I20150914001386 |
| Provider Name | Lindsay B Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881070803 PECOS PAC ID: 5193020782 Enrollment ID: I20160218002010 |
| Provider Name | Shannon J Pogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184082273 PECOS PAC ID: 0244535227 Enrollment ID: I20160301000196 |
| Provider Name | Sarah B Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497139554 PECOS PAC ID: 1456657519 Enrollment ID: I20160316000166 |
| Provider Name | Jessica Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285088146 PECOS PAC ID: 3779872098 Enrollment ID: I20160510000842 |
| Provider Name | Priscilla C Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681883 PECOS PAC ID: 9335438506 Enrollment ID: I20160512000224 |
| Provider Name | Sara Dawn Bayird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790136547 PECOS PAC ID: 9032401229 Enrollment ID: I20160708000652 |
| Provider Name | Thanh Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144664384 PECOS PAC ID: 6406169051 Enrollment ID: I20160920000828 |
| Provider Name | Sheri N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760834857 PECOS PAC ID: 6103113444 Enrollment ID: I20160929001701 |
| Provider Name | Dedra A Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457801797 PECOS PAC ID: 7113207614 Enrollment ID: I20161129000603 |
| Provider Name | Joshua A Tennyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588042246 PECOS PAC ID: 3577843853 Enrollment ID: I20161201002339 |
| Provider Name | Candice Brooke Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457808362 PECOS PAC ID: 4082995329 Enrollment ID: I20161229000634 |
| Provider Name | Teresa Lynn Roseberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740730290 PECOS PAC ID: 8123309150 Enrollment ID: I20170105000033 |
| Provider Name | Darla A Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679023824 PECOS PAC ID: 4981985843 Enrollment ID: I20170109000683 |
| Provider Name | Courtney Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299523 PECOS PAC ID: 2961785605 Enrollment ID: I20170203001302 |
| Provider Name | Ashley Dawn Shrives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003352444 PECOS PAC ID: 2466735824 Enrollment ID: I20170208002372 |
| Provider Name | Lauren C Leopard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180453 PECOS PAC ID: 3779866611 Enrollment ID: I20170220001264 |
| Provider Name | Frieda-anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619413077 PECOS PAC ID: 8527343656 Enrollment ID: I20170331001707 |
| Provider Name | Lindsey R Sabatini |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164956199 PECOS PAC ID: 7810274651 Enrollment ID: I20170504002220 |
| Provider Name | Richard M Landaverde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518496538 PECOS PAC ID: 5395014393 Enrollment ID: I20170707000320 |
| Provider Name | April N Everhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871032003 PECOS PAC ID: 8123399508 Enrollment ID: I20170803000211 |
| Provider Name | Leigh Ann Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649700063 PECOS PAC ID: 4284905167 Enrollment ID: I20170810003543 |
| Provider Name | Kasey L Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861925331 PECOS PAC ID: 4981976602 Enrollment ID: I20170815004314 |
| Provider Name | Christina A Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053841155 PECOS PAC ID: 2365714615 Enrollment ID: I20170821002420 |
| Provider Name | Naomi Katherine Harrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174046940 PECOS PAC ID: 5991077869 Enrollment ID: I20170828002567 |
| Provider Name | Rochelle Lee Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093238875 PECOS PAC ID: 6305119132 Enrollment ID: I20170830001216 |
| Provider Name | Gina Marie Morgan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093949448 PECOS PAC ID: 0941487433 Enrollment ID: I20170908000254 |
| Provider Name | Morgan Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245752070 PECOS PAC ID: 0547535395 Enrollment ID: I20171005000032 |
| Provider Name | Emile T Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063930634 PECOS PAC ID: 4880960046 Enrollment ID: I20171017000684 |
| Provider Name | Keechia Gean Muse |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942711783 PECOS PAC ID: 9739446147 Enrollment ID: I20171120001175 |
| Provider Name | Rebecca K Coble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013439082 PECOS PAC ID: 4486915246 Enrollment ID: I20180219002822 |
| Provider Name | Danielle Renae Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467950501 PECOS PAC ID: 6901167584 Enrollment ID: I20180221002917 |
| Provider Name | Sarah E Drum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669974499 PECOS PAC ID: 3870855398 Enrollment ID: I20180321002392 |
| Provider Name | Colleen Michelle Janes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544305 PECOS PAC ID: 3577828516 Enrollment ID: I20180523000268 |
| Provider Name | Angel Bynum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992291520 PECOS PAC ID: 4183971047 Enrollment ID: I20180724000437 |
| Provider Name | Priscilla Jo Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033696273 PECOS PAC ID: 2466700695 Enrollment ID: I20180806000318 |
| Provider Name | Dina Marie Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629576152 PECOS PAC ID: 5496004350 Enrollment ID: I20180827000353 |
| Provider Name | Tammy J Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821574641 PECOS PAC ID: 8224388954 Enrollment ID: I20180830001059 |
| Provider Name | Lawrence A Weisenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053891895 PECOS PAC ID: 4284984204 Enrollment ID: I20180912001074 |
| Provider Name | Alisha Engelkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568947752 PECOS PAC ID: 0244584282 Enrollment ID: I20181112000375 |
| Provider Name | Allison R Gragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245712959 PECOS PAC ID: 4183969702 Enrollment ID: I20181228001779 |
| Provider Name | Tara L Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982171203 PECOS PAC ID: 2365781119 Enrollment ID: I20190222001114 |
| Provider Name | Rickey E Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528560513 PECOS PAC ID: 8527307438 Enrollment ID: I20190311001267 |
| Provider Name | Jennifer Anne Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184181216 PECOS PAC ID: 1052651874 Enrollment ID: I20190314000318 |
| Provider Name | Whitley Erin Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164998084 PECOS PAC ID: 6103166228 Enrollment ID: I20190327000811 |
| Provider Name | Ashley Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003389834 PECOS PAC ID: 9739420183 Enrollment ID: I20190411001296 |
| Provider Name | Sandra Elaine Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669933370 PECOS PAC ID: 6204178023 Enrollment ID: I20190426001950 |
| Provider Name | Kirsten Anne Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427514538 PECOS PAC ID: 4385986058 Enrollment ID: I20190429001903 |
| Provider Name | Carrie Ann Hickmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811550031 PECOS PAC ID: 2567705668 Enrollment ID: I20190513001187 |
| Provider Name | Laurie Lynn Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205392164 PECOS PAC ID: 7517200678 Enrollment ID: I20190514000686 |
| Provider Name | Anthony Vincent Ciaramitaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649831041 PECOS PAC ID: 8820323462 Enrollment ID: I20190718000986 |
| Provider Name | Alicia Marie Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699336586 PECOS PAC ID: 9739415340 Enrollment ID: I20190719000370 |
| Provider Name | Daniel L. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942861794 PECOS PAC ID: 3678809753 Enrollment ID: I20190726002051 |
| Provider Name | Lesli Don Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831635093 PECOS PAC ID: 9234465337 Enrollment ID: I20190726002823 |
| Provider Name | Danna S Barkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740844927 PECOS PAC ID: 0143556241 Enrollment ID: I20190726002827 |
| Provider Name | Ellen Weseli Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104478585 PECOS PAC ID: 5092042382 Enrollment ID: I20190808003450 |
| Provider Name | Samantha Jo Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720648702 PECOS PAC ID: 7315114568 Enrollment ID: I20190923000755 |
| Provider Name | Brandee Michelle Munn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851947832 PECOS PAC ID: 2567792948 Enrollment ID: I20190927000654 |
| Provider Name | Tori L Laduke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811556715 PECOS PAC ID: 2769713411 Enrollment ID: I20191009003575 |
| Provider Name | Jan M Scantling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770143604 PECOS PAC ID: 0840521498 Enrollment ID: I20191011001358 |
| Provider Name | Leslie A Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780279 PECOS PAC ID: 3173855129 Enrollment ID: I20191024002520 |
| Provider Name | Tanya Chancellor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083260871 PECOS PAC ID: 8527490366 Enrollment ID: I20191115000619 |
| Provider Name | Emma E Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598313686 PECOS PAC ID: 5890127401 Enrollment ID: I20191120002394 |
| Provider Name | Dillon Clifford Louton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932743887 PECOS PAC ID: 6608209697 Enrollment ID: I20191205000689 |
| Provider Name | Charity Angela Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225679558 PECOS PAC ID: 3779916788 Enrollment ID: I20191205001201 |
| Provider Name | Brittney Lee Shanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306476676 PECOS PAC ID: 3375970221 Enrollment ID: I20200305001439 |
| Provider Name | Brandi Lee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720617954 PECOS PAC ID: 4284064395 Enrollment ID: I20200413002654 |
| Provider Name | Ashley Ellen Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760016703 PECOS PAC ID: 1052741774 Enrollment ID: I20200421001750 |
| Provider Name | Jessica Lee Vognet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639799240 PECOS PAC ID: 8820429871 Enrollment ID: I20200507002451 |
| Provider Name | Sarah Lakae Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245877794 PECOS PAC ID: 7517381650 Enrollment ID: I20200722000111 |
| Provider Name | Holly Lynn Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159295 PECOS PAC ID: 2062837578 Enrollment ID: I20200730003635 |
| Provider Name | Gretchin Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629688247 PECOS PAC ID: 2365868577 Enrollment ID: I20200819000943 |
| Provider Name | Aubrey Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982058723 PECOS PAC ID: 0446660393 Enrollment ID: I20201103002633 |
| Provider Name | Brandi Lyn Pinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750789178 PECOS PAC ID: 3577973445 Enrollment ID: I20201104000636 |
| Provider Name | Shandi Lynn Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659987527 PECOS PAC ID: 0042620940 Enrollment ID: I20201104001953 |
| Provider Name | Lucenthia Georgette Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316551799 PECOS PAC ID: 5890105621 Enrollment ID: I20201106001569 |
| Provider Name | Dana D Fryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841798105 PECOS PAC ID: 7012270309 Enrollment ID: I20201110000100 |
| Provider Name | Bradley W Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932707346 PECOS PAC ID: 3577818608 Enrollment ID: I20201124001438 |
| Provider Name | Stephanie Michelle Hickmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053907931 PECOS PAC ID: 4183036007 Enrollment ID: I20201218000416 |
| Provider Name | Hailey A Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316533821 PECOS PAC ID: 2769897461 Enrollment ID: I20210210001220 |
| Provider Name | Linzy Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881285336 PECOS PAC ID: 8527475086 Enrollment ID: I20210329002090 |
| Provider Name | Brooke Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134705916 PECOS PAC ID: 0547678302 Enrollment ID: I20210415000394 |
| Provider Name | Heather Ann Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144804022 PECOS PAC ID: 7618386293 Enrollment ID: I20210512000091 |
| Provider Name | Garrett Wade Krisell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215505615 PECOS PAC ID: 8729488333 Enrollment ID: I20210617002303 |
| Provider Name | Desiree D Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932591179 PECOS PAC ID: 5395147433 Enrollment ID: I20210712002147 |
| Provider Name | Kelli Jo Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215507884 PECOS PAC ID: 7911309968 Enrollment ID: I20210713002128 |
| Provider Name | Mckenna Wright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588291074 PECOS PAC ID: 6507260817 Enrollment ID: I20210809003482 |
| Provider Name | Brandy Nicole Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275105983 PECOS PAC ID: 4385048552 Enrollment ID: I20210810002375 |
| Provider Name | Margaret L Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942974829 PECOS PAC ID: 5698170066 Enrollment ID: I20210823003004 |
| Provider Name | Malgorzata Stramel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821674193 PECOS PAC ID: 3779989405 Enrollment ID: I20210903002857 |
| Provider Name | Brandie Tindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558039297 PECOS PAC ID: 5991102998 Enrollment ID: I20210917000724 |
| Provider Name | Megan Toon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043988728 PECOS PAC ID: 4880091008 Enrollment ID: I20210930000405 |
| Provider Name | April Ann Nutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508533050 PECOS PAC ID: 2961809181 Enrollment ID: I20210930000456 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1093385858 PECOS PAC ID: 6204224637 Enrollment ID: I20211123000424 |
| Provider Name | Lindsey P Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962167874 PECOS PAC ID: 4587054333 Enrollment ID: I20211209001576 |
| Provider Name | John M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174122121 PECOS PAC ID: 0143610832 Enrollment ID: I20211213001403 |
| Provider Name | Loretta Smithson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548927619 PECOS PAC ID: 1456742071 Enrollment ID: I20211215001266 |
| Provider Name | Courtney Linn Cavender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902421175 PECOS PAC ID: 6709201627 Enrollment ID: I20220124001487 |
| Provider Name | Jill Lorraine Thitoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205589058 PECOS PAC ID: 5799170791 Enrollment ID: I20220309001445 |
| Provider Name | Thomas Collier Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639824956 PECOS PAC ID: 8820483324 Enrollment ID: I20220321000386 |
| Provider Name | Mandi Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811638919 PECOS PAC ID: 6204223274 Enrollment ID: I20220420003080 |
| Provider Name | Shalese Ladawne Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295348027 PECOS PAC ID: 3072907120 Enrollment ID: I20220425001452 |
| Provider Name | Destiny Yvonne Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164175303 PECOS PAC ID: 2062890049 Enrollment ID: I20220602002821 |
| Provider Name | Lane Aprn Alderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851024996 PECOS PAC ID: 4880075969 Enrollment ID: I20220720003310 |
| Provider Name | Stephanie Eagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394520 PECOS PAC ID: 9830574524 Enrollment ID: I20220915003704 |
| Provider Name | Laura Michelle Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033839931 PECOS PAC ID: 6406231125 Enrollment ID: I20220916000891 |
| Provider Name | Staci Rachelle Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508337643 PECOS PAC ID: 4789069428 Enrollment ID: I20220916001919 |
| Provider Name | Lauren Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114650322 PECOS PAC ID: 2567848567 Enrollment ID: I20220928002033 |
| Provider Name | Jennifer Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073249280 PECOS PAC ID: 8123495538 Enrollment ID: I20221027001579 |
| Provider Name | Paula K Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407584527 PECOS PAC ID: 8921477381 Enrollment ID: I20221207002584 |
| Provider Name | Taylor O Rittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831807650 PECOS PAC ID: 4183093024 Enrollment ID: I20221215000503 |
| Provider Name | Audrey R Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487390118 PECOS PAC ID: 4385014083 Enrollment ID: I20221221000344 |
| Provider Name | Jamye Nichole Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881319366 PECOS PAC ID: 4587035357 Enrollment ID: I20230116000169 |
| Provider Name | Bridget Diane Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932808987 PECOS PAC ID: 4688048804 Enrollment ID: I20230329002016 |
| Provider Name | Tasha D Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730892811 PECOS PAC ID: 9638544471 Enrollment ID: I20230411000086 |
| Provider Name | Barbara Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538863311 PECOS PAC ID: 4486011749 Enrollment ID: I20230601002375 |
| Provider Name | Melissa Anne Hutsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659086502 PECOS PAC ID: 4587022140 Enrollment ID: I20230614002376 |
| Provider Name | Mattie Keaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023707205 PECOS PAC ID: 8022470913 Enrollment ID: I20230809001317 |
| Provider Name | Adrienne Michelle Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598440224 PECOS PAC ID: 0042666265 Enrollment ID: I20231024004174 |
| Provider Name | Hannah Danielle Spiva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154004950 PECOS PAC ID: 9931555778 Enrollment ID: I20231030003710 |
| Provider Name | Angie Marie Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588395396 PECOS PAC ID: 5597112078 Enrollment ID: I20231104000519 |
| Provider Name | Ashley Brooke Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164208021 PECOS PAC ID: 9739536251 Enrollment ID: I20231106001063 |
| Provider Name | Chase Lee Caple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356035802 PECOS PAC ID: 9830546399 Enrollment ID: I20231106002830 |
| Provider Name | Tekeyla Warfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669000840 PECOS PAC ID: 4486067048 Enrollment ID: I20231118000727 |
| Provider Name | Janis Gherman Cline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588621494 PECOS PAC ID: 4284654823 Enrollment ID: I20231221000301 |
| Provider Name | Katelyn Layne Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083363592 PECOS PAC ID: 8729438056 Enrollment ID: I20231228001102 |
| Provider Name | Mckinsea Dawn Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932963386 PECOS PAC ID: 8527403310 Enrollment ID: I20240304000341 |
| Provider Name | April D Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790260081 PECOS PAC ID: 9638422108 Enrollment ID: I20240313001206 |
| Provider Name | Sarah Madison Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033972666 PECOS PAC ID: 4486090339 Enrollment ID: I20240313003489 |
| Provider Name | Jaynee Gail Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417707662 PECOS PAC ID: 1658718549 Enrollment ID: I20240327003136 |
| Provider Name | Jacquelyn Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871352138 PECOS PAC ID: 8527406180 Enrollment ID: I20240402003557 |
| Provider Name | Michelle Lawhon-ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336913227 PECOS PAC ID: 7911345418 Enrollment ID: I20240403001182 |
| Provider Name | Kara Carpenter Treadway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063296333 PECOS PAC ID: 8729442413 Enrollment ID: I20240502001863 |
| Provider Name | Sarah Ann Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134808819 PECOS PAC ID: 5193267466 Enrollment ID: I20240603002483 |
Lifelong Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 N Main St, Salem, AR 72576 Phone: 870-895-5433 Fax: 870-895-5430 | |
Irh Medical Group, Brooks Geriatrics & Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 684 Hwy 62 W, Suite 2, Salem, AR 72576 Phone: 870-895-3274 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Highway 62 W, Salem, AR 72576 Phone: 870-895-2015 Fax: 870-895-2164 | |
Scribner Family Practice Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Turner Ln, Salem, AR 72576 Phone: 870-859-3238 | |
Salem Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 661 N Main St, Salem, AR 72576 Phone: 870-895-3281 Fax: 870-895-3118 | |
Thrive Therapy Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Main St, Salem, AR 72576 Phone: 870-307-4383 | |
Baxter Health Fulton County Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 673 N Main Street, Ste A, Salem, AR 72576 Phone: 870-895-4488 |