| Healthstar Physicians Of Hot Springs | |
|
248 Highway 70 E Glenwood AR 71943-8801 | |
| (870) 356-4801 | |
| (870) 356-5357 |
| Full Name | Healthstar Physicians Of Hot Springs |
|---|---|
| Speciality | Family Medicine |
| Location | 248 Highway 70 E, Glenwood, Arkansas |
| Authorized Official Name and Position | Brenda Larie Southerland (OFFICE MANAGER) |
| Authorized Official Contact | 5016257500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthstar Physicians Of Hot Springs 1661 Airport Rd Suite D Hot Springs AR 71913-7951 Ph: (501) 625-7500 | Healthstar Physicians Of Hot Springs 248 Highway 70 E Glenwood AR 71943-8801 Ph: (870) 356-4801 |
| NPI Number | 1740368877 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 5698665685 |
|---|---|
| Medicare Enrollment ID | O20110923000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740368877 | NPI | - | NPPES |
| 139988002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen Sue Hanig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659351864 PECOS PAC ID: 7911998810 Enrollment ID: I20040519001654 |
| Provider Name | Fred L Lyles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609826486 PECOS PAC ID: 3072595941 Enrollment ID: I20040603001182 |
| Provider Name | Jodi Lynette Sanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770538308 PECOS PAC ID: 9032179981 Enrollment ID: I20041014000712 |
| Provider Name | John Scott Erwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518906858 PECOS PAC ID: 4486601143 Enrollment ID: I20050405000495 |
| Provider Name | Michael S Mullins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457390734 PECOS PAC ID: 9032009022 Enrollment ID: I20061012000225 |
| Provider Name | Matthew D Hulsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275573750 PECOS PAC ID: 2769567122 Enrollment ID: I20080310000185 |
| Provider Name | Billie Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740289214 PECOS PAC ID: 7214079821 Enrollment ID: I20100120000493 |
| Provider Name | Naomi Dian D Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760707251 PECOS PAC ID: 0244364941 Enrollment ID: I20100817000969 |
| Provider Name | Kevin D Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922101716 PECOS PAC ID: 0840180832 Enrollment ID: I20110923000310 |
| Provider Name | Natalie E Summitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417210543 PECOS PAC ID: 5890943583 Enrollment ID: I20120921000701 |
| Provider Name | Brent Fikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609165364 PECOS PAC ID: 9638310030 Enrollment ID: I20130727000266 |
| Provider Name | Joseph C Fendley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003182387 PECOS PAC ID: 9436388188 Enrollment ID: I20140129001804 |
| Provider Name | Tameisha Gayle Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811313554 PECOS PAC ID: 6002030855 Enrollment ID: I20140617001497 |
| Provider Name | Stephanie Ann Ragsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467763110 PECOS PAC ID: 8022234087 Enrollment ID: I20140728001780 |
| Provider Name | Courtney J. Fallen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609286780 PECOS PAC ID: 7719103407 Enrollment ID: I20140804000045 |
| Provider Name | Christina Marie Gillenwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811326861 PECOS PAC ID: 2466672043 Enrollment ID: I20141002000460 |
| Provider Name | Ellen Dell Moreland |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720215205 PECOS PAC ID: 2567682008 Enrollment ID: I20141003000750 |
| Provider Name | Bridgett N Brantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619368420 PECOS PAC ID: 0446579692 Enrollment ID: I20150511000108 |
| Provider Name | Amy Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104213289 PECOS PAC ID: 2365763190 Enrollment ID: I20150605000600 |
| Provider Name | Christine Marie Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801268479 PECOS PAC ID: 1759681786 Enrollment ID: I20151124001378 |
| Provider Name | Stacy L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679931760 PECOS PAC ID: 0143526368 Enrollment ID: I20160314001306 |
| Provider Name | Denise A Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014294 PECOS PAC ID: 9931492550 Enrollment ID: I20160720000209 |
| Provider Name | Misty L. Foshee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821515792 PECOS PAC ID: 0143594606 Enrollment ID: I20170921001867 |
| Provider Name | Samantha K Lampi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124537162 PECOS PAC ID: 2860758554 Enrollment ID: I20171114000052 |
| Provider Name | Jennifer Mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023535952 PECOS PAC ID: 5890055727 Enrollment ID: I20180214000191 |
| Provider Name | Ashley Loe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568948875 PECOS PAC ID: 3375894256 Enrollment ID: I20180918000489 |
| Provider Name | Susan Rachelle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013489590 PECOS PAC ID: 3577802933 Enrollment ID: I20190228002745 |
| Provider Name | Norinda Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669938049 PECOS PAC ID: 6608117429 Enrollment ID: I20190404001299 |
| Provider Name | Gregory D Sketas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710340088 PECOS PAC ID: 3375823255 Enrollment ID: I20190515001685 |
| Provider Name | Anna Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689228975 PECOS PAC ID: 0143550525 Enrollment ID: I20190927000917 |
| Provider Name | Miranda Erin Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013568997 PECOS PAC ID: 9638401813 Enrollment ID: I20191022001452 |
| Provider Name | Sahithi Pothuganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124481262 PECOS PAC ID: 0244522324 Enrollment ID: I20200406001455 |
| Provider Name | Brittany Camille Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093335879 PECOS PAC ID: 2264842079 Enrollment ID: I20201106000855 |
| Provider Name | Natalie S Manatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851902118 PECOS PAC ID: 6507277233 Enrollment ID: I20201201001270 |
| Provider Name | Laura Odle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013513589 PECOS PAC ID: 3779995956 Enrollment ID: I20201211000896 |
| Provider Name | Kelsey Jordan Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760077069 PECOS PAC ID: 5395152722 Enrollment ID: I20210331000157 |
| Provider Name | Kimberly O Laflora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801407440 PECOS PAC ID: 9830507847 Enrollment ID: I20210412001797 |
| Provider Name | Laticia Kay Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871013359 PECOS PAC ID: 3577833458 Enrollment ID: I20210528000111 |
| Provider Name | Sandy Jeanette Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205406709 PECOS PAC ID: 6002218658 Enrollment ID: I20210706001801 |
| Provider Name | Swapna Manyam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500406 PECOS PAC ID: 6103151634 Enrollment ID: I20220131000319 |
| Provider Name | Elvira Monica Liga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477207678 PECOS PAC ID: 7618360611 Enrollment ID: I20220216000845 |
| Provider Name | Ty Anthony Humphreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588396600 PECOS PAC ID: 4688059595 Enrollment ID: I20220913003220 |
| Provider Name | Benjamin Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861248510 PECOS PAC ID: 0345682522 Enrollment ID: I20240521000799 |
Chi St. Vincent Medical Group Hot Springs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 234 E Broadway, Glenwood, AR 71943 Phone: 870-356-4821 Fax: 870-356-4721 | |
Glenwood Physical Therapy Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 Highway 70 E, Suite D, Glenwood, AR 71943 Phone: 870-356-6044 Fax: 870-356-6045 |