Medical Rehab Group Llp | |
1201 Fleming Jonesboro AR 72401 | |
(870) 933-5174 | |
(870) 933-5235 |
Full Name | Medical Rehab Group Llp |
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Speciality | Family Medicine |
Location | 1201 Fleming, Jonesboro, Arkansas |
Authorized Official Name and Position | Dan Johnson (CEO) |
Authorized Official Contact | 8709335174 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Rehab Group Llp 1201 Fleming Jonesboro AR 72401 Ph: (870) 933-5174 | Medical Rehab Group Llp 1201 Fleming Jonesboro AR 72401 Ph: (870) 933-5174 |
NPI Number | 1669856704 |
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Provider Enumeration Date | 07/18/2015 |
Last Update Date | 07/18/2015 |
Medicare PECOS PAC ID | 9133429152 |
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Medicare Enrollment ID | O20151124000846 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669856704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Darrell G Ragland |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912960238 PECOS PAC ID: 0244123289 Enrollment ID: I20040204000572 |
Provider Name | Stephen C. Golden |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093778169 PECOS PAC ID: 9032002936 Enrollment ID: I20040204000909 |
Provider Name | John S Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083602882 PECOS PAC ID: 1153215520 Enrollment ID: I20040209000646 |
Provider Name | Steven M Blanchard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326001652 PECOS PAC ID: 4385533157 Enrollment ID: I20040311000686 |
Provider Name | Mark C Brown |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679785174 PECOS PAC ID: 2567416787 Enrollment ID: I20050309001016 |
Provider Name | James W. Lee |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811001282 PECOS PAC ID: 5294811667 Enrollment ID: I20080325000711 |
Provider Name | Kimberly D Whicker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750518072 PECOS PAC ID: 1850580986 Enrollment ID: I20110105000680 |
Provider Name | Gerald S Stipanuk |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669459905 PECOS PAC ID: 1951343169 Enrollment ID: I20110921000289 |
Provider Name | Nicholas W Guinn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710253208 PECOS PAC ID: 6608181045 Enrollment ID: I20150814012761 |
Provider Name | Amanda D Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629489133 PECOS PAC ID: 6507170255 Enrollment ID: I20160916000300 |
Provider Name | Thusitha R Dissanayake |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073810537 PECOS PAC ID: 1951522556 Enrollment ID: I20161117001103 |
Provider Name | Jeffrey Guirand |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1639532666 PECOS PAC ID: 3274807078 Enrollment ID: I20170918001557 |
Provider Name | Amr Aly Ahmed El-aawar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780065599 PECOS PAC ID: 2668723875 Enrollment ID: I20180927002346 |
Provider Name | Jessica S Matthews |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831850130 PECOS PAC ID: 8729471073 Enrollment ID: I20220208002997 |
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