| Paragould Doctors' Clinic | |
|
4000 Linwood Drive Suite A Paragould AR 72450-7224 | |
| (870) 239-8503 | |
| (870) 236-1947 |
| Full Name | Paragould Doctors' Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4000 Linwood Drive, Paragould, Arkansas |
| Authorized Official Name and Position | John Lieblong (PRESIDENT) |
| Authorized Official Contact | 8709327024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paragould Doctors' Clinic 4000 Linwood Drive Suite A Paragould AR 72450-7224 Ph: (870) 239-8503 | Paragould Doctors' Clinic 4000 Linwood Drive Suite A Paragould AR 72450-7224 Ph: (870) 239-8503 |
| NPI Number | 1700849692 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 7315844586 |
|---|---|
| Medicare Enrollment ID | O20070203000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700849692 | NPI | - | NPPES |
| 130301002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nancy L Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922176569 PECOS PAC ID: 8921086059 Enrollment ID: I20040713001308 |
| Provider Name | Lance E Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083677058 PECOS PAC ID: 4082670476 Enrollment ID: I20041207001102 |
| Provider Name | Dwight M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619930591 PECOS PAC ID: 7416913801 Enrollment ID: I20041207001124 |
| Provider Name | Culber M Shotts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427011410 PECOS PAC ID: 4981660362 Enrollment ID: I20041207001152 |
| Provider Name | Cole Peck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942225131 PECOS PAC ID: 0648222117 Enrollment ID: I20050401000885 |
| Provider Name | Karen Peck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447275656 PECOS PAC ID: 3476452244 Enrollment ID: I20050401000947 |
| Provider Name | Tara L Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568515930 PECOS PAC ID: 4587605977 Enrollment ID: I20050516000886 |
| Provider Name | James W Fletcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407880644 PECOS PAC ID: 4284663493 Enrollment ID: I20050808001263 |
| Provider Name | Walter M Short |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649295833 PECOS PAC ID: 3476639832 Enrollment ID: I20080325000694 |
| Provider Name | Victoria L Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629201710 PECOS PAC ID: 3375689680 Enrollment ID: I20090929000679 |
| Provider Name | Amy K Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710110051 PECOS PAC ID: 6305982414 Enrollment ID: I20091002000591 |
| Provider Name | Kirk A Coward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356638290 PECOS PAC ID: 1658541875 Enrollment ID: I20110825000760 |
| Provider Name | Jessica Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124432455 PECOS PAC ID: 8224254529 Enrollment ID: I20140723000053 |
| Provider Name | Gary M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962844522 PECOS PAC ID: 4486898905 Enrollment ID: I20141219000103 |
| Provider Name | Judy A Harsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477960995 PECOS PAC ID: 6406179043 Enrollment ID: I20150106002001 |
| Provider Name | Amanda Lois Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699187666 PECOS PAC ID: 7618291931 Enrollment ID: I20150115000495 |
| Provider Name | Savannah Coin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692528 PECOS PAC ID: 6901118249 Enrollment ID: I20160229002915 |
| Provider Name | Lauren A Willmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316389323 PECOS PAC ID: 8426355983 Enrollment ID: I20160328001957 |
| Provider Name | Emily B Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780035998 PECOS PAC ID: 6204122302 Enrollment ID: I20160915000507 |
| Provider Name | Natalie A Engelken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417400656 PECOS PAC ID: 5496039232 Enrollment ID: I20170223000368 |
| Provider Name | Lauren E Cude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063949345 PECOS PAC ID: 6103184023 Enrollment ID: I20171227000174 |
| Provider Name | Johnna S Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619404993 PECOS PAC ID: 6002174927 Enrollment ID: I20171227000214 |
| Provider Name | Jordan L Mcintire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649780404 PECOS PAC ID: 1658631395 Enrollment ID: I20180129000829 |
| Provider Name | Jennifer L Crisp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134609696 PECOS PAC ID: 8325398662 Enrollment ID: I20180906001606 |
| Provider Name | Leah Christine Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912488115 PECOS PAC ID: 3072864131 Enrollment ID: I20180928001747 |
| Provider Name | Mauri S Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780160085 PECOS PAC ID: 2163774068 Enrollment ID: I20181003002974 |
| Provider Name | Courtnay L Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740765023 PECOS PAC ID: 4486908845 Enrollment ID: I20181121001501 |
| Provider Name | Tanika D Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285198507 PECOS PAC ID: 4981943131 Enrollment ID: I20190305002531 |
| Provider Name | Michael A Gossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811541964 PECOS PAC ID: 6608104724 Enrollment ID: I20190917001748 |
| Provider Name | Bridgette L. Fender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922622505 PECOS PAC ID: 8820417025 Enrollment ID: I20201007000545 |
| Provider Name | Tracey L Riney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861927337 PECOS PAC ID: 5092085530 Enrollment ID: I20220421000182 |
| Provider Name | Virginia L Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447905682 PECOS PAC ID: 2668869694 Enrollment ID: I20220421002012 |
| Provider Name | Kayla Godsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497320337 PECOS PAC ID: 8224425533 Enrollment ID: I20220504002378 |
| Provider Name | Dylan K Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073075735 PECOS PAC ID: 1557696481 Enrollment ID: I20220602002873 |
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 | |
Ammc Physician Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 Phone: 870-239-8591 Fax: 870-239-8137 |