| Newport Diagnostic Medical Clinic | |
|
2200 Malcolm Ave Suite B Newport AR 72112-3668 | |
| (870) 523-9270 | |
| Not Available |
| Full Name | Newport Diagnostic Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Malcolm Ave, Newport, 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 |
|---|---|
| Newport Diagnostic Medical Clinic 1710 Harrison St Batesville AR 72501-7303 Ph: (870) 523-9270 | Newport Diagnostic Medical Clinic 2200 Malcolm Ave Suite B Newport AR 72112-3668 Ph: (870) 523-9270 |
| NPI Number | 1871609743 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 0143134270 |
|---|---|
| Medicare Enrollment ID | O20070223000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871609743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366449274 PECOS PAC ID: 2163410242 Enrollment ID: I20040505001675 |
| Provider Name | Kimberly Moser Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780651505 PECOS PAC ID: 2264413871 Enrollment ID: I20040528000774 |
| Provider Name | Birtha Virginia Hartness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003895541 PECOS PAC ID: 5294712873 Enrollment ID: I20040701000746 |
| Provider Name | Terry L Burns |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801908108 PECOS PAC ID: 0244206860 Enrollment ID: I20051014000583 |
| Provider Name | Sherry L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578656120 PECOS PAC ID: 8426064593 Enrollment ID: I20060313000720 |
| Provider Name | Ellen L Qualls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689819682 PECOS PAC ID: 6406911296 Enrollment ID: I20090211000165 |
| Provider Name | Andy M Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396731550 PECOS PAC ID: 9638204688 Enrollment ID: I20100520000350 |
| Provider Name | Suzanna C Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659695898 PECOS PAC ID: 1658404934 Enrollment ID: I20100806000673 |
| Provider Name | Robin Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083931331 PECOS PAC ID: 1951435999 Enrollment ID: I20100812001040 |
| Provider Name | Naomi M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083756803 PECOS PAC ID: 3870759590 Enrollment ID: I20120725000352 |
| Provider Name | Carla Jean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962836213 PECOS PAC ID: 7113153289 Enrollment ID: I20131119001582 |
| Provider Name | Yolonda E Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003015348 PECOS PAC ID: 7416171657 Enrollment ID: I20140610000917 |
| Provider Name | Whitney Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477978054 PECOS PAC ID: 7315162278 Enrollment ID: I20140709000497 |
| Provider Name | Amanda Lois Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699187666 PECOS PAC ID: 7618291931 Enrollment ID: I20150115000495 |
| Provider Name | Erin M Sandefur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184015422 PECOS PAC ID: 8628397916 Enrollment ID: I20150508000525 |
| Provider Name | Jennifer Blaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659766939 PECOS PAC ID: 6305158932 Enrollment ID: I20150709002495 |
| Provider Name | Jerrod R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013302587 PECOS PAC ID: 7618283805 Enrollment ID: I20170221000594 |
| Provider Name | Bobbi Tosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104342799 PECOS PAC ID: 9931474988 Enrollment ID: I20171002002163 |
| Provider Name | Marlo Rae Hargrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275041923 PECOS PAC ID: 2264776533 Enrollment ID: I20181128001359 |
| Provider Name | Jennifer Tosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295390136 PECOS PAC ID: 7113260431 Enrollment ID: I20190529002810 |
| Provider Name | Kayla Krystyna Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073168837 PECOS PAC ID: 7416286711 Enrollment ID: I20190911003860 |
| Provider Name | James R Bridgeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396394060 PECOS PAC ID: 9739410473 Enrollment ID: I20191011000473 |
| Provider Name | Kerstie Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619504370 PECOS PAC ID: 5092145730 Enrollment ID: I20200421003116 |
| Provider Name | Micah Joyce Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447820998 PECOS PAC ID: 7416352430 Enrollment ID: I20210828000312 |
| Provider Name | Brandon Dale Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558035121 PECOS PAC ID: 2567868136 Enrollment ID: I20210907002156 |
| Provider Name | Melinda Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518614874 PECOS PAC ID: 7810382132 Enrollment ID: I20220323000004 |
| Provider Name | Mitchell L Keel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114480209 PECOS PAC ID: 3971837600 Enrollment ID: I20220627000055 |
| Provider Name | Jennifer Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316672116 PECOS PAC ID: 2668854266 Enrollment ID: I20220728003184 |
| Provider Name | David Tanner Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427760842 PECOS PAC ID: 6709256076 Enrollment ID: I20221230002050 |
| Provider Name | Tracy Bonee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538896196 PECOS PAC ID: 7911377031 Enrollment ID: I20230106001682 |
Doctors Health Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Mclain St, Newport, AR 72112 Phone: 870-523-3900 Fax: 870-523-3902 | |
Wade Falwell, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Mclain St, Suite G, Newport, AR 72112 Phone: 870-523-3053 Fax: 870-523-3637 | |
Unity Health Newport Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Mclain St Ste B, Newport, AR 72112 Phone: 870-523-2320 Fax: 870-523-7563 | |
Unity Health Green Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Mclain St Ste G, Newport, AR 72112 Phone: 870-523-0193 Fax: 870-523-3583 | |
Newport Diagnostic Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Malcolm Ave, Suite B, Newport, AR 72112 Phone: 870-523-9270 | |
Arcare 45 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Ray St, Newport, AR 72112 Phone: 870-523-2944 Fax: 870-523-2998 | |
Guilford M. Dudley, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Malcolm Ave, Suite B, Newport, AR 72112 Phone: 870-512-2522 Fax: 870-512-2525 |