| Family Practice Clinic Of Paragould | |
|
1015 W Kingshighway Paragould AR 72450-4142 | |
| (870) 239-4076 | |
| Not Available |
| Full Name | Family Practice Clinic Of Paragould |
|---|---|
| Speciality | Family Medicine |
| Location | 1015 W Kingshighway, Paragould, Arkansas |
| Authorized Official Name and Position | Thomas Lynn Stickel (ADMINISTRATOR) |
| Authorized Official Contact | 8702394076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Clinic Of Paragould 1015 W Kingshighway Paragould AR 72450-4142 Ph: (870) 239-4076 | Family Practice Clinic Of Paragould 1015 W Kingshighway Paragould AR 72450-4142 Ph: (870) 239-4076 |
| NPI Number | 1144299132 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921021460 |
|---|---|
| Medicare Enrollment ID | O20060110001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144299132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bobby Aaron Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720020662 PECOS PAC ID: 8224080668 Enrollment ID: I20050323000308 |
| Provider Name | Stacey Wray Noel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992781264 PECOS PAC ID: 3375564701 Enrollment ID: I20051214000055 |
| Provider Name | Ronette L Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750391082 PECOS PAC ID: 6800983917 Enrollment ID: I20071106000144 |
| Provider Name | Stanley M Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801044300 PECOS PAC ID: 9032255294 Enrollment ID: I20091001000702 |
| Provider Name | Heather Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346769155 PECOS PAC ID: 7719243476 Enrollment ID: I20171113002377 |
| Provider Name | Jacob A Mcmillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467814137 PECOS PAC ID: 1759674344 Enrollment ID: I20190706000025 |
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 | |
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