| St. Bernards Hospital Inc | |
|
303 E Matthews Ave Suite 202 Jonesboro AR 72401-3150 | |
| (870) 207-7555 | |
| (870) 336-5083 |
| Full Name | St. Bernards Hospital Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 303 E Matthews Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Benjamin Barylske (CFO) |
| Authorized Official Contact | 8702074565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Bernards Hospital Inc 225 E Washington Ave Jonesboro AR 72401-3111 Ph: (870) 207-7555 | St. Bernards Hospital Inc 303 E Matthews Ave Suite 202 Jonesboro AR 72401-3150 Ph: (870) 207-7555 |
| NPI Number | 1891178828 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/20/2020 |
| Medicare PECOS PAC ID | 0941105480 |
|---|---|
| Medicare Enrollment ID | O20150824001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891178828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Terry Dean Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528063997 PECOS PAC ID: 2264428655 Enrollment ID: I20040421001586 |
| Provider Name | Stacy Leann Wilbanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336203348 PECOS PAC ID: 2466488663 Enrollment ID: I20050711000287 |
| Provider Name | Thomas Michael Mulligan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1376583328 PECOS PAC ID: 3173552254 Enrollment ID: I20070419000336 |
| Provider Name | Paul Vellozo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386744274 PECOS PAC ID: 8628167962 Enrollment ID: I20071210000139 |
| Provider Name | Raluca C Rosca Sichitiu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992706188 PECOS PAC ID: 0244268183 Enrollment ID: I20090527000385 |
| Provider Name | Sheri D Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184006728 PECOS PAC ID: 4183932874 Enrollment ID: I20150929003059 |
| Provider Name | Erin L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043660194 PECOS PAC ID: 7315231404 Enrollment ID: I20160812000355 |
| Provider Name | Kimberly L Cooksey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841715547 PECOS PAC ID: 6002172830 Enrollment ID: I20171113000618 |
| Provider Name | Katie J Hutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023503869 PECOS PAC ID: 5597013516 Enrollment ID: I20180808001847 |
| Provider Name | Lindsey B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275014409 PECOS PAC ID: 6002168317 Enrollment ID: I20181016000895 |
| Provider Name | Samantha D Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124681465 PECOS PAC ID: 3072842673 Enrollment ID: I20190906002338 |
| Provider Name | Madison N Birdno |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114534369 PECOS PAC ID: 3779982848 Enrollment ID: I20210521000241 |
| Provider Name | Brittany Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104410604 PECOS PAC ID: 0446649065 Enrollment ID: I20211119000103 |
| Provider Name | Mary Peebles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023742038 PECOS PAC ID: 6608259767 Enrollment ID: I20220823000896 |
| Provider Name | Haley Kristin Layton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306573266 PECOS PAC ID: 5092189076 Enrollment ID: I20240124001666 |
| Provider Name | Mary E Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467908202 PECOS PAC ID: 2264966449 Enrollment ID: I20241111001766 |
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