| Christus Health Ark-la-tex | |
|
2600 Saint Michael Dr Texarkana TX 75503-2372 | |
| (903) 614-1000 | |
| Not Available |
| Full Name | Christus Health Ark-la-tex |
|---|---|
| Speciality | General Practice |
| Location | 2600 Saint Michael Dr, Texarkana, Texas |
| Authorized Official Name and Position | Jason Matthew Adams (PRESIDENT) |
| Authorized Official Contact | 7027384546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Health Ark-la-tex Po Box 3070 Texarkana TX 75504-3070 Ph: (903) 614-2943 | Christus Health Ark-la-tex 2600 Saint Michael Dr Texarkana TX 75503-2372 Ph: (903) 614-1000 |
| NPI Number | 1184623266 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 03/04/2025 |
| Medicare PECOS PAC ID | 2264325588 |
|---|---|
| Medicare Enrollment ID | O20050324001186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184623266 | NPI | - | NPPES |
| 0066DU | Other | TX | BLUE CROSS BLUE SHIELD |
| 145960002 | Medicaid | AR | |
| CJ5358 | Other | RAILROAD | |
| 9R022 | Other | AR | BLUE CROSS BLUE SHIELD |
| 080804001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stacy L Wells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588691646 PECOS PAC ID: 3173412798 Enrollment ID: I20040312000138 |
| Provider Name | Melissa K Baumgardner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467476424 PECOS PAC ID: 6507849031 Enrollment ID: I20040608000121 |
| Provider Name | Mark Andrews Wren |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104884386 PECOS PAC ID: 5698751691 Enrollment ID: I20040629001132 |
| Provider Name | Donna Goecke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144246778 PECOS PAC ID: 3072565860 Enrollment ID: I20050221000482 |
| Provider Name | Manu G Reddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659468023 PECOS PAC ID: 3971542002 Enrollment ID: I20050428000416 |
| Provider Name | Gregg D Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609874080 PECOS PAC ID: 7315965852 Enrollment ID: I20051103000523 |
| Provider Name | John M Hester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124058052 PECOS PAC ID: 5193730711 Enrollment ID: I20060217000269 |
| Provider Name | Felicia M Cooks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922012020 PECOS PAC ID: 7810905064 Enrollment ID: I20060329000387 |
| Provider Name | Albert E Scates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700923679 PECOS PAC ID: 7810097243 Enrollment ID: I20070713000245 |
| Provider Name | Amanda K Sams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619021771 PECOS PAC ID: 6204927593 Enrollment ID: I20070731000600 |
| Provider Name | Tracey S Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245246479 PECOS PAC ID: 8325044399 Enrollment ID: I20090220000124 |
| Provider Name | Jessica Leigh Huett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982841490 PECOS PAC ID: 2466518030 Enrollment ID: I20090305000519 |
| Provider Name | Brooks Ross Greger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073663688 PECOS PAC ID: 5395849681 Enrollment ID: I20090311000247 |
| Provider Name | Rebecca S Vanleeuwen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184875817 PECOS PAC ID: 7719034511 Enrollment ID: I20090414000439 |
| Provider Name | Thomas S Livingston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598726036 PECOS PAC ID: 9032295837 Enrollment ID: I20091229000164 |
| Provider Name | David S Galyon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619209384 PECOS PAC ID: 2264561018 Enrollment ID: I20100603000715 |
| Provider Name | Kim A Downes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902138563 PECOS PAC ID: 7911038849 Enrollment ID: I20100621000927 |
| Provider Name | Andrew D Fuller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518286541 PECOS PAC ID: 2365575313 Enrollment ID: I20100728000729 |
| Provider Name | Paul M James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144531187 PECOS PAC ID: 6901930692 Enrollment ID: I20100817000834 |
| Provider Name | Gary L Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700884947 PECOS PAC ID: 1759564636 Enrollment ID: I20110330000880 |
| Provider Name | Brady Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649570615 PECOS PAC ID: 1456537471 Enrollment ID: I20110509000535 |
| Provider Name | Richard Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366772261 PECOS PAC ID: 7416090717 Enrollment ID: I20110524000635 |
| Provider Name | Jaanna L Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306022181 PECOS PAC ID: 5496839037 Enrollment ID: I20111025000500 |
| Provider Name | Blaine E Rider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679869168 PECOS PAC ID: 7911171921 Enrollment ID: I20111130000688 |
| Provider Name | Jennifer K Anthony |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740582923 PECOS PAC ID: 5597927814 Enrollment ID: I20120503000236 |
| Provider Name | Benjamin R Parker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902046006 PECOS PAC ID: 0042362394 Enrollment ID: I20130419000437 |
| Provider Name | Justin Glenn Fitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255678298 PECOS PAC ID: 9032356084 Enrollment ID: I20130510000141 |
| Provider Name | Lance Aubrey Attaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831375096 PECOS PAC ID: 0345329504 Enrollment ID: I20130723000448 |
| Provider Name | Yoko Sugimoto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063838779 PECOS PAC ID: 8628209277 Enrollment ID: I20140324001046 |
| Provider Name | Jessica L Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417378217 PECOS PAC ID: 8820220569 Enrollment ID: I20140412000178 |
| Provider Name | Abhilasha Jayantilal Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649405382 PECOS PAC ID: 8921223611 Enrollment ID: I20140714002242 |
| Provider Name | John W Woodell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023377009 PECOS PAC ID: 3678738549 Enrollment ID: I20140730001478 |
| Provider Name | Charles Harrison Matthews |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689899676 PECOS PAC ID: 0042477549 Enrollment ID: I20150216000412 |
| Provider Name | Clinton Echols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356732390 PECOS PAC ID: 9335467562 Enrollment ID: I20150417001423 |
| Provider Name | Jeffrey Zipparo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699113118 PECOS PAC ID: 9638305998 Enrollment ID: I20150622000762 |
| Provider Name | Lucas K Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467818211 PECOS PAC ID: 8123323854 Enrollment ID: I20160217002626 |
| Provider Name | Jane Adwoa Yeboah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043665979 PECOS PAC ID: 9436443223 Enrollment ID: I20160802000615 |
| Provider Name | Jeremy B Andrews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629432851 PECOS PAC ID: 5294021275 Enrollment ID: I20161215000086 |
| Provider Name | Robert Goebel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174620504 PECOS PAC ID: 6608787809 Enrollment ID: I20170201000869 |
| Provider Name | Brent M Willis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104363258 PECOS PAC ID: 3779867411 Enrollment ID: I20170224001632 |
| Provider Name | Richard P Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275777500 PECOS PAC ID: 3971872565 Enrollment ID: I20170804000284 |
| Provider Name | Georgette Stiban |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245733682 PECOS PAC ID: 8628315413 Enrollment ID: I20190201001288 |
| Provider Name | Pamela K May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700274909 PECOS PAC ID: 4981909769 Enrollment ID: I20190517000379 |
| Provider Name | Emily Skinner Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114576469 PECOS PAC ID: 2769714633 Enrollment ID: I20191025000410 |
| Provider Name | Simona Luckow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427412188 PECOS PAC ID: 9830483874 Enrollment ID: I20191212000284 |
| Provider Name | Tristan Blake Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689018202 PECOS PAC ID: 7719125988 Enrollment ID: I20200309001565 |
| Provider Name | Iris Bettina Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760014492 PECOS PAC ID: 6406274265 Enrollment ID: I20200911000435 |
| Provider Name | Rachel Anne Charette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396383683 PECOS PAC ID: 1658799788 Enrollment ID: I20200922000598 |
| Provider Name | Zachary Heath Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609401959 PECOS PAC ID: 4082034657 Enrollment ID: I20201020002555 |
| Provider Name | Yesenia Canciobello |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457954737 PECOS PAC ID: 7517366222 Enrollment ID: I20210601000638 |
| Provider Name | Andre Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386263069 PECOS PAC ID: 4385040385 Enrollment ID: I20210830003482 |
| Provider Name | Brandon Lee Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134425226 PECOS PAC ID: 4385825280 Enrollment ID: I20220503001694 |
| Provider Name | Margaret Leigh Broadhead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629652367 PECOS PAC ID: 3375920085 Enrollment ID: I20220519000181 |
| Provider Name | Frederich Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245966639 PECOS PAC ID: 2062889041 Enrollment ID: I20221103002072 |
| Provider Name | Ashlyn Nicole Spruell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184409229 PECOS PAC ID: 0840645990 Enrollment ID: I20231010003951 |
| Provider Name | Jeffrey Michel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023069333 PECOS PAC ID: 1759319775 Enrollment ID: I20231113000278 |
| Provider Name | Paul Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417909003 PECOS PAC ID: 1355357914 Enrollment ID: I20231205001044 |
| Provider Name | Hayden Hunter Cox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467131300 PECOS PAC ID: 7214373646 Enrollment ID: I20240307003728 |
East Texas Border Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
East Texas Border Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
Trimuph Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4082 Summerhill Sq, Texarkana, TX 75503 Phone: 903-793-7994 Fax: 903-793-7996 | |
Hygeia At Delphi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Lawson Cir, Texarkana, TX 75503 Phone: 903-556-9317 | |
Nathan J Wright Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2991 Fax: 903-793-7996 | |
Ranga Balasekaran Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd Ste 401, Texarkana, TX 75501 Phone: 903-792-4146 Fax: 903-792-0586 | |
Christus Health Ark-la-tex Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 |