Baptist Health | |
104 West Taylor Street Sparkman AR 71763 | |
(870) 246-2471 | |
Not Available |
Full Name | Baptist Health |
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Speciality | Clinic/Center |
Location | 104 West Taylor Street, Sparkman, Arkansas |
Authorized Official Name and Position | Troy Wells (PRESIDENT) |
Authorized Official Contact | 5012022080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baptist Health 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: () - | Baptist Health 104 West Taylor Street Sparkman AR 71763 Ph: (870) 246-2471 |
NPI Number | 1427630110 |
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Provider Enumeration Date | 04/22/2021 |
Last Update Date | 04/22/2021 |
Medicare PECOS PAC ID | 0648177949 |
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Medicare Enrollment ID | O20210504000413 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427630110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Abid Mohiuddin |
---|---|
Provider Type | Practitioner - Hematology |
Provider Identifiers | NPI Number: 1063526614 PECOS PAC ID: 8123017787 Enrollment ID: I20050316000297 |
Provider Name | Rangaswamy Govindarajan |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1831289313 PECOS PAC ID: 1254401714 Enrollment ID: I20080610000521 |
Provider Name | Misty A Douthit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790914927 PECOS PAC ID: 0840345179 Enrollment ID: I20090909000736 |
Provider Name | Altimus R Bollen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720054125 PECOS PAC ID: 5597845404 Enrollment ID: I20100512001017 |
Provider Name | Noland H Hagood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346259124 PECOS PAC ID: 8628158110 Enrollment ID: I20100722000041 |
Provider Name | Bryan D Mcdonnell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710996517 PECOS PAC ID: 2264512755 Enrollment ID: I20100728000482 |
Provider Name | Coral D Heard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023378783 PECOS PAC ID: 6608026737 Enrollment ID: I20121025000220 |
Provider Name | Heather D Grigsby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881002756 PECOS PAC ID: 6305065046 Enrollment ID: I20140911001883 |
Provider Name | Richard B Chastain |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104265081 PECOS PAC ID: 6103149612 Enrollment ID: I20150107002405 |
Provider Name | Emily M Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730579921 PECOS PAC ID: 1658698352 Enrollment ID: I20150317002191 |
Provider Name | Charity M Lowdermilk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902297559 PECOS PAC ID: 1759608953 Enrollment ID: I20150327001215 |
Provider Name | Laura L Lester |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568801447 PECOS PAC ID: 8224355326 Enrollment ID: I20150331000332 |
Provider Name | Angela D Suttle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073058749 PECOS PAC ID: 5597049296 Enrollment ID: I20170224000253 |
Provider Name | Christina E Porter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649719923 PECOS PAC ID: 9638454119 Enrollment ID: I20170323002555 |
Provider Name | Jason Leonard Muesse |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1386872695 PECOS PAC ID: 5890084149 Enrollment ID: I20170612000514 |
Provider Name | Deonna L Whatley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164908034 PECOS PAC ID: 2163772427 Enrollment ID: I20180906002480 |
Provider Name | Manojna Konda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588026983 PECOS PAC ID: 7214220086 Enrollment ID: I20190606002645 |
Provider Name | Katy A Marino |
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Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1942562186 PECOS PAC ID: 2365711249 Enrollment ID: I20190907000124 |
Provider Name | Erika S Horta |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1720408354 PECOS PAC ID: 7911202841 Enrollment ID: I20200716002952 |
Provider Name | Abhijit Godbole |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1609135797 PECOS PAC ID: 2062728546 Enrollment ID: I20200728001159 |
Provider Name | Christina Louise Rone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467065250 PECOS PAC ID: 0345668489 Enrollment ID: I20200922001121 |
Provider Name | Lauren S Franks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285237305 PECOS PAC ID: 4082021175 Enrollment ID: I20210408001434 |
Provider Name | Brian Campbell Jimenez |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1548668916 PECOS PAC ID: 8527468883 Enrollment ID: I20210609000470 |
Provider Name | Anusha Jillella |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1760845804 PECOS PAC ID: 6305138504 Enrollment ID: I20210818003600 |
Provider Name | Sindhu Janarthanam Malapati |
---|---|
Provider Type | Practitioner - Hematology |
Provider Identifiers | NPI Number: 1407232184 PECOS PAC ID: 4587960760 Enrollment ID: I20210823003155 |
Provider Name | Shi-ming Tu |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1386721421 PECOS PAC ID: 4385838929 Enrollment ID: I20220225000916 |
Provider Name | Sunny R K Singh |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1336522895 PECOS PAC ID: 6103122734 Enrollment ID: I20220720001527 |
Provider Name | Leslie Collie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679211734 PECOS PAC ID: 7719363985 Enrollment ID: I20220927000207 |
Provider Name | Sri Obulareddy |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1760779979 PECOS PAC ID: 7618262254 Enrollment ID: I20230105002880 |
Provider Name | Nicholas D Tingquist |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1083009252 PECOS PAC ID: 7315253044 Enrollment ID: I20230922001136 |
Provider Name | Vivek Yadala |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1639699770 PECOS PAC ID: 5890066765 Enrollment ID: I20231017001697 |
Sparkman Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Taylor St, Sparkman, AR 71763 Phone: 870-836-1387 Fax: 870-836-1548 | |
Sparkman Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Taylor St, Sparkman, AR 71763 Phone: 870-678-2226 Fax: 870-836-1358 |