| Narmc Medicine Group | |
|
724 N Spring St Ste A Harrison AR 72601-2913 | |
| (870) 365-0850 | |
| (870) 365-0862 |
| Full Name | Narmc Medicine Group |
|---|---|
| Speciality | Family Medicine |
| Location | 724 N Spring St Ste A, Harrison, Arkansas |
| Authorized Official Name and Position | Ken Pannell (VP FINANCE/CFO) |
| Authorized Official Contact | 8704145157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Narmc Medicine Group 724 N Spring St Ste D Harrison AR 72601-2913 Ph: (870) 414-4000 | Narmc Medicine Group 724 N Spring St Ste A Harrison AR 72601-2913 Ph: (870) 365-0850 |
| NPI Number | 1780941625 |
|---|---|
| Provider Enumeration Date | 04/17/2012 |
| Last Update Date | 09/19/2022 |
| Medicare PECOS PAC ID | 5193615896 |
|---|---|
| Medicare Enrollment ID | O20120612000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780941625 | NPI | - | NPPES |
| 193249002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Jennifer M Sadler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295798510 PECOS PAC ID: 2062492523 Enrollment ID: I20040723001011 |
| Provider Name | Jon Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093710113 PECOS PAC ID: 7719967009 Enrollment ID: I20070807000595 |
| Provider Name | Johnny L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104971373 PECOS PAC ID: 4688768302 Enrollment ID: I20070925000552 |
| Provider Name | Stephanie L Mallett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609185586 PECOS PAC ID: 6406042092 Enrollment ID: I20101122000716 |
| Provider Name | Rana D Burnside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639229339 PECOS PAC ID: 7113100041 Enrollment ID: I20110330000357 |
| Provider Name | Daniel B Decker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205039807 PECOS PAC ID: 8820268840 Enrollment ID: I20110831000332 |
| Provider Name | Ross E Halsted |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578876959 PECOS PAC ID: 0345480935 Enrollment ID: I20130702000311 |
| Provider Name | Julie K Hutchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639583834 PECOS PAC ID: 9133442114 Enrollment ID: I20141223002004 |
| Provider Name | Taesha Cn Winford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877340 PECOS PAC ID: 0042442964 Enrollment ID: I20150108000676 |
| Provider Name | Micah D Wiegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801188792 PECOS PAC ID: 3779899174 Enrollment ID: I20150831002461 |
| Provider Name | Christopher Stephen Baranyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043416373 PECOS PAC ID: 5395925325 Enrollment ID: I20151001000792 |
| Provider Name | Regina Kay Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396191136 PECOS PAC ID: 7810289055 Enrollment ID: I20160708001946 |
| Provider Name | Amanda S Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033661798 PECOS PAC ID: 3678855301 Enrollment ID: I20170112003034 |
| Provider Name | Jennifer Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702048 PECOS PAC ID: 1850654211 Enrollment ID: I20180417002020 |
| Provider Name | Ashley P Merrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306080569 PECOS PAC ID: 6901052349 Enrollment ID: I20181018000233 |
| Provider Name | Stacey Foor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407311038 PECOS PAC ID: 5799012340 Enrollment ID: I20190806001629 |
| Provider Name | Jennifer N Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154951127 PECOS PAC ID: 6608204508 Enrollment ID: I20200306000935 |
| Provider Name | Donielle K Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043776727 PECOS PAC ID: 1951722867 Enrollment ID: I20200602000363 |
| Provider Name | Joseph Scott Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285863423 PECOS PAC ID: 5092940841 Enrollment ID: I20200602000708 |
| Provider Name | Jessica Ann Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700409182 PECOS PAC ID: 3678993227 Enrollment ID: I20201020001837 |
| Provider Name | Nicole F Caton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255835898 PECOS PAC ID: 6901155746 Enrollment ID: I20210616000568 |
| Provider Name | Waleed Ayesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588161400 PECOS PAC ID: 5496010209 Enrollment ID: I20210922002882 |
| Provider Name | Makaya R Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053078907 PECOS PAC ID: 2466843958 Enrollment ID: I20211216001569 |
| Provider Name | Amy L Reano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568054930 PECOS PAC ID: 2961895388 Enrollment ID: I20220208001208 |
| Provider Name | Ting Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730337452 PECOS PAC ID: 2062717416 Enrollment ID: I20220310000196 |
| Provider Name | Kellie Manes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043611502 PECOS PAC ID: 7911386594 Enrollment ID: I20220628002854 |
| Provider Name | Robert E Foy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932764461 PECOS PAC ID: 7416289400 Enrollment ID: I20220829002120 |
| Provider Name | Vivian Hase-lipton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578777538 PECOS PAC ID: 8527353366 Enrollment ID: I20220909000405 |
| Provider Name | Bailey M Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427759216 PECOS PAC ID: 6305206988 Enrollment ID: I20230713003362 |
| Provider Name | Jonathan Blake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598739708 PECOS PAC ID: 6709948102 Enrollment ID: I20231121000282 |
| Provider Name | Cody Cardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063294056 PECOS PAC ID: 5395194898 Enrollment ID: I20231208002700 |
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