| Baptist Health Family Clinic - Sparkman | |
|
104 W Taylor St Sparkman AR 71763-8938 | |
| (870) 246-2471 | |
| Not Available |
| Full Name | Baptist Health Family Clinic - Sparkman |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 W Taylor St, Sparkman, Arkansas |
| Authorized Official Name and Position | Troy Wells (PRESIDENT) |
| Authorized Official Contact | 5012022080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Family Clinic - Sparkman 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 | Baptist Health Family Clinic - Sparkman 104 W Taylor St Sparkman AR 71763-8938 Ph: (870) 246-2471 |
| NPI Number | 1427630110 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 04/02/2025 |
| Certification Date | 04/02/2025 |
| Medicare PECOS PAC ID | 0648177949 |
|---|---|
| Medicare Enrollment ID | O20210504000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427630110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| Provider Name | Melissa D Seme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609882497 PECOS PAC ID: 4183609142 Enrollment ID: I20040623000293 |
| Provider Name | Abid Mohiuddin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1063526614 PECOS PAC ID: 8123017787 Enrollment ID: I20050316000297 |
| Provider Name | Raquel D Danko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821196445 PECOS PAC ID: 8426059536 Enrollment ID: I20070116000267 |
| Provider Name | Rangaswamy Govindarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831289313 PECOS PAC ID: 1254401714 Enrollment ID: I20080610000521 |
| Provider Name | Tammy Lusk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457525909 PECOS PAC ID: 9133294515 Enrollment ID: I20080819000967 |
| Provider Name | Matthew a Steliga |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417121591 PECOS PAC ID: 9436229929 Enrollment ID: I20090831000103 |
| Provider Name | Misty a Douthit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790914927 PECOS PAC ID: 0840345179 Enrollment ID: I20090909000736 |
| Provider Name | Altimus R Bollen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720054125 PECOS PAC ID: 5597845404 Enrollment ID: I20100512001017 |
| Provider Name | Harold W Branch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164466603 PECOS PAC ID: 6608767009 Enrollment ID: I20100712000490 |
| Provider Name | Lavon J Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427251776 PECOS PAC ID: 1355473091 Enrollment ID: I20100716000105 |
| Provider Name | Noland H Hagood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346259124 PECOS PAC ID: 8628158110 Enrollment ID: I20100722000041 |
| Provider Name | Bryan D Mcdonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710996517 PECOS PAC ID: 2264512755 Enrollment ID: I20100728000482 |
| Provider Name | Coral D Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023378783 PECOS PAC ID: 6608026737 Enrollment ID: I20121025000220 |
| Provider Name | Sallie M Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447460993 PECOS PAC ID: 0143451906 Enrollment ID: I20140320001874 |
| Provider Name | Heather D Grigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881002756 PECOS PAC ID: 6305065046 Enrollment ID: I20140911001883 |
| Provider Name | Emily M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730579921 PECOS PAC ID: 1658698352 Enrollment ID: I20150317002191 |
| Provider Name | Charity M Lowdermilk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902297559 PECOS PAC ID: 1759608953 Enrollment ID: I20150327001215 |
| Provider Name | MD Shadiqul Hoque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487918702 PECOS PAC ID: 4880909563 Enrollment ID: I20150811004233 |
| Provider Name | Angela D Suttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073058749 PECOS PAC ID: 5597049296 Enrollment ID: I20170224000253 |
| Provider Name | Christina E Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719923 PECOS PAC ID: 9638454119 Enrollment ID: I20170323002555 |
| Provider Name | Sarah W Jewell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508152471 PECOS PAC ID: 6901035591 Enrollment ID: I20170605001013 |
| Provider Name | Jason Leonard Muesse |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386872695 PECOS PAC ID: 5890084149 Enrollment ID: I20170612000514 |
| Provider Name | Rainie R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417456443 PECOS PAC ID: 4587926761 Enrollment ID: I20180328001300 |
| Provider Name | Deonna L Whatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164908034 PECOS PAC ID: 2163772427 Enrollment ID: I20180906002480 |
| Provider Name | Manojna Konda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588026983 PECOS PAC ID: 7214220086 Enrollment ID: I20190606002645 |
| Provider Name | Katy a Marino |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942562186 PECOS PAC ID: 2365711249 Enrollment ID: I20190907000124 |
| Provider Name | Sravani Gundarlapalli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376958355 PECOS PAC ID: 4486931128 Enrollment ID: I20200807001428 |
| Provider Name | Christina Louise Rone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467065250 PECOS PAC ID: 0345668489 Enrollment ID: I20200922001121 |
| Provider Name | Lauren S Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285237305 PECOS PAC ID: 4082021175 Enrollment ID: I20210408001434 |
| Provider Name | Savanna Grace Garrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538763677 PECOS PAC ID: 0941618102 Enrollment ID: I20210428000891 |
| Provider Name | Brian Campbell Jimenez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548668916 PECOS PAC ID: 8527468883 Enrollment ID: I20210609000470 |
| Provider Name | Anusha Jillella |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760845804 PECOS PAC ID: 6305138504 Enrollment ID: I20210818003600 |
| Provider Name | Sindhu Janarthanam Malapati |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1407232184 PECOS PAC ID: 4587960760 Enrollment ID: I20210823003155 |
| Provider Name | Shi-ming Tu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386721421 PECOS PAC ID: 4385838929 Enrollment ID: I20220225000916 |
| Provider Name | Sunny R K Singh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336522895 PECOS PAC ID: 6103122734 Enrollment ID: I20220720001527 |
| Provider Name | Sri Obulareddy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760779979 PECOS PAC ID: 7618262254 Enrollment ID: I20230105002880 |
| Provider Name | Nicholas D Tingquist |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083009252 PECOS PAC ID: 7315253044 Enrollment ID: I20230922001136 |
| Provider Name | Colleen Nicole Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346928975 PECOS PAC ID: 4183079098 Enrollment ID: I20231012003276 |
| Provider Name | Vivek Yadala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639699770 PECOS PAC ID: 5890066765 Enrollment ID: I20231017001697 |
| Provider Name | Alan P Baltz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407352040 PECOS PAC ID: 0244586808 Enrollment ID: I20240906000598 |
| Provider Name | Kollin Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366183444 PECOS PAC ID: 5799172052 Enrollment ID: I20250806002250 |
Sparkman Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Taylor St, Sparkman, AR 71763 Phone: 870-836-1387 Fax: 870-836-1548 |
Sparkman Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Taylor St, Sparkman, AR 71763 Phone: 870-678-2226 Fax: 870-836-1358 |