| Narmc Professional Practice Group | |
|
620 N Main St Harrison AR 72601-2911 | |
| (870) 414-4000 | |
| (870) 414-4789 |
| Full Name | Narmc Professional Practice Group |
|---|---|
| Speciality | Hospitalist |
| Location | 620 N Main St, Harrison, Arkansas |
| Authorized Official Name and Position | Deana Thomas (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 Professional Practice Group 620 N Main St Harrison AR 72601-2911 Ph: (870) 414-4000 | Narmc Professional Practice Group 620 N Main St Harrison AR 72601-2911 Ph: (870) 414-4000 |
| NPI Number | 1376817304 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 07/15/2016 |
| Medicare PECOS PAC ID | 5193615896 |
|---|---|
| Medicare Enrollment ID | O20111110000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376817304 | NPI | - | NPPES |
| 190112002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Arnold Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346213311 PECOS PAC ID: 9739074931 Enrollment ID: I20040217000699 |
| Provider Name | Otis Sumter Warr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043214323 PECOS PAC ID: 4880583095 Enrollment ID: I20040315000711 |
| Provider Name | Jennifer M Sadler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295798510 PECOS PAC ID: 2062492523 Enrollment ID: I20040723001011 |
| Provider Name | Gary Andrew Linker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902856867 PECOS PAC ID: 8729056064 Enrollment ID: I20040923000661 |
| Provider Name | Michael J Camp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558363622 PECOS PAC ID: 5597728634 Enrollment ID: I20041124000047 |
| Provider Name | Ted Lennard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932153913 PECOS PAC ID: 0345325890 Enrollment ID: I20080308000131 |
| Provider Name | Richard B Chitsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679547301 PECOS PAC ID: 0345378733 Enrollment ID: I20100505000532 |
| Provider Name | Ali F Abdelaal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255344131 PECOS PAC ID: 9436342987 Enrollment ID: I20101018000422 |
| Provider Name | Mitchell A Ahrens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407967235 PECOS PAC ID: 9931288073 Enrollment ID: I20120207000231 |
| Provider Name | John C Sorg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821093063 PECOS PAC ID: 1153220462 Enrollment ID: I20120831000628 |
| Provider Name | Ross E Halsted |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578876959 PECOS PAC ID: 0345480935 Enrollment ID: I20130702000311 |
| Provider Name | Micah D Wiegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801188792 PECOS PAC ID: 3779899174 Enrollment ID: I20150831002461 |
| Provider Name | Amanda Comfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609233733 PECOS PAC ID: 1254637606 Enrollment ID: I20160310000693 |
| Provider Name | Amanda S Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033661798 PECOS PAC ID: 3678855301 Enrollment ID: I20170112003034 |
| Provider Name | Thomas B Rosson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163499 PECOS PAC ID: 2567780448 Enrollment ID: I20170509000314 |
| Provider Name | Candice Baldeo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518300557 PECOS PAC ID: 9234356833 Enrollment ID: I20190607001687 |
| Provider Name | Paul Bhella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457538548 PECOS PAC ID: 6103019369 Enrollment ID: I20200212001635 |
| Provider Name | Joseph Scott Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285863423 PECOS PAC ID: 5092940841 Enrollment ID: I20200602000708 |
| 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 | Ting Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730337452 PECOS PAC ID: 2062717416 Enrollment ID: I20220310000196 |
| Provider Name | Jessica Graddy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215683586 PECOS PAC ID: 7517352446 Enrollment ID: I20220321001406 |
| Provider Name | Jonathan Blake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598739708 PECOS PAC ID: 6709948102 Enrollment ID: I20231121000282 |
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