| Ammc Physician Group | |
|
1000 W. Kinshighway Suite 14 Paragould AR 72450 | |
| (870) 239-8591 | |
| (870) 239-8137 |
| Full Name | Ammc Physician Group |
|---|---|
| Speciality | Otolaryngology |
| Location | 1000 W. Kinshighway, Paragould, Arkansas |
| Authorized Official Name and Position | Kimberly Thompson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8702397102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ammc Physician Group 1000 W. Kingshighway Suite 14 Paragould AR 72450 Ph: (870) 239-8591 | Ammc Physician Group 1000 W. Kinshighway Suite 14 Paragould AR 72450 Ph: (870) 239-8591 |
| NPI Number | 1205457405 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 04/06/2021 |
| Medicare PECOS PAC ID | 6608780119 |
|---|---|
| Medicare Enrollment ID | O20200811000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205457405 | NPI | - | NPPES |
| Provider Name | John R Hines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629031950 PECOS PAC ID: 8729992243 Enrollment ID: I20031118000557 |
| Provider Name | Henry Fieldon Stroope |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417913567 PECOS PAC ID: 5698687663 Enrollment ID: I20031203000071 |
| Provider Name | Adalberto R Fonticiella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922088269 PECOS PAC ID: 9739155615 Enrollment ID: I20050725001006 |
| Provider Name | Kelly K. Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417173139 PECOS PAC ID: 1456421510 Enrollment ID: I20080531000100 |
| Provider Name | Robert L Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508837006 PECOS PAC ID: 0446316350 Enrollment ID: I20090302000228 |
| Provider Name | William Jennison Bulkley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386638286 PECOS PAC ID: 7113074980 Enrollment ID: I20090414000170 |
| Provider Name | Ronald E South |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457314577 PECOS PAC ID: 8123175908 Enrollment ID: I20090414000261 |
| Provider Name | Joel R Epperson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194746602 PECOS PAC ID: 6204832413 Enrollment ID: I20100320000016 |
| Provider Name | Brandice A Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437465929 PECOS PAC ID: 7113112921 Enrollment ID: I20101105001004 |
| Provider Name | Kirk A Coward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356638290 PECOS PAC ID: 1658541875 Enrollment ID: I20110825000760 |
| Provider Name | Kennan J Buechter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689815227 PECOS PAC ID: 2961664875 Enrollment ID: I20120509000626 |
| Provider Name | Rose L Glynne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093717035 PECOS PAC ID: 5698780021 Enrollment ID: I20150204000262 |
| Provider Name | Tasha Nicole Starks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720354228 PECOS PAC ID: 6406161918 Enrollment ID: I20150812008993 |
| Provider Name | Jennifer Ellen Susoreny-velgos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821356601 PECOS PAC ID: 2163715111 Enrollment ID: I20170802001354 |
| Provider Name | Jessica B Nutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477935385 PECOS PAC ID: 2567734866 Enrollment ID: I20170822001434 |
| Provider Name | Carie L Cesare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427421288 PECOS PAC ID: 7416242862 Enrollment ID: I20171012001732 |
| Provider Name | Amy M Elms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481589 PECOS PAC ID: 4688930837 Enrollment ID: I20171104000013 |
| Provider Name | Jodi A Turano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639340599 PECOS PAC ID: 1153495916 Enrollment ID: I20171127000958 |
| Provider Name | Charles David Cesare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063408409 PECOS PAC ID: 3971491374 Enrollment ID: I20171130000496 |
| Provider Name | Joanna E Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548789209 PECOS PAC ID: 0941567986 Enrollment ID: I20171130000571 |
| Provider Name | David N Brotman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033112461 PECOS PAC ID: 1658460605 Enrollment ID: I20180605003377 |
| Provider Name | Courtney Jean Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629557582 PECOS PAC ID: 6204186166 Enrollment ID: I20180913003186 |
| Provider Name | Allison R Gragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245712959 PECOS PAC ID: 4183969702 Enrollment ID: I20181228001779 |
| Provider Name | Hillary Tripod Jones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639657984 PECOS PAC ID: 9436495363 Enrollment ID: I20190114000888 |
| Provider Name | Chelsea L Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285097949 PECOS PAC ID: 3476846346 Enrollment ID: I20190923003181 |
| Provider Name | George D Munday |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235108432 PECOS PAC ID: 3072550904 Enrollment ID: I20191003002306 |
| Provider Name | Brittany L Carmack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932553153 PECOS PAC ID: 7012200983 Enrollment ID: I20191004000615 |
| Provider Name | Michael T Bogatch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154556678 PECOS PAC ID: 6709181373 Enrollment ID: I20191115002349 |
| Provider Name | Mathieu Forgues |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508284209 PECOS PAC ID: 0042643652 Enrollment ID: I20191211002298 |
| Provider Name | Allyssa E Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285295865 PECOS PAC ID: 0042648024 Enrollment ID: I20200325003009 |
| Provider Name | Jason Sinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194340034 PECOS PAC ID: 5496166175 Enrollment ID: I20201202000049 |
| Provider Name | Aleshia G Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407463938 PECOS PAC ID: 3577977123 Enrollment ID: I20210122001396 |
| Provider Name | Allison Nicole Hitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437765831 PECOS PAC ID: 4183030182 Enrollment ID: I20210316002223 |
| Provider Name | Tiffany Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164950499 PECOS PAC ID: 0547539348 Enrollment ID: I20210914001482 |
| Provider Name | Tabetha Fleszar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649946120 PECOS PAC ID: 0840697819 Enrollment ID: I20210920000743 |
| Provider Name | Charlena Dian Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134895170 PECOS PAC ID: 8628475076 Enrollment ID: I20210928000366 |
| Provider Name | Ashlie Rae Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811561921 PECOS PAC ID: 9638576903 Enrollment ID: I20210929001856 |
| Provider Name | Joseph M Gleason |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760669808 PECOS PAC ID: 0941366587 Enrollment ID: I20220131001398 |
| Provider Name | Kayla Godsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497320337 PECOS PAC ID: 8224425533 Enrollment ID: I20220504002378 |
| Provider Name | Charbel Maroun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194305672 PECOS PAC ID: 8022486968 Enrollment ID: I20221123002883 |
| Provider Name | Callie Ann Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871207654 PECOS PAC ID: 9032583208 Enrollment ID: I20230330000783 |
| Provider Name | Brandi Denee Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578243010 PECOS PAC ID: 3173972007 Enrollment ID: I20231218001002 |
Hendrix Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2709 W Kingshighway, Suite 6, Paragould, AR 72450 Phone: 870-236-7272 Fax: 870-236-7275 | |
Dement Internal Medicine Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Kingshighway Ste 7, Paragould, AR 72450 Phone: 870-236-8855 Fax: 870-236-8895 | |
Hines Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 W. Court St., Paragould, AR 72450 Phone: 870-236-4100 Fax: 870-236-4122 | |
Paragould Doctors' Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4000 Linwood Dr, Suite A, Paragould, AR 72450 Phone: 870-239-8503 Fax: 870-236-1947 | |
Family Practice Clinic Of Paragould Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 W Kingshighway, Paragould, AR 72450 Phone: 870-239-4076 | |
C & S Imaging Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 W. Emerson, Paragould, AR 72450 Phone: 870-476-7101 |