| White River Health System, Inc. | |
|
3443 Harrison St Batesville AR 72501-8820 | |
| (870) 262-1510 | |
| (870) 262-1516 |
| Full Name | White River Health System, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3443 Harrison St, Batesville, Arkansas |
| Authorized Official Name and Position | Shawna Baxter (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8702625545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Health System, Inc. 1710 Harrison St Batesville AR 72501-7303 Ph: (870) 262-1510 | White River Health System, Inc. 3443 Harrison St Batesville AR 72501-8820 Ph: (870) 262-1510 |
| NPI Number | 1144609751 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 0143134270 |
|---|---|
| Medicare Enrollment ID | O20151211000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144609751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Baird Walton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285622076 PECOS PAC ID: 0941254213 Enrollment ID: I20050309000673 |
| Provider Name | Surinder P Sra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700845740 PECOS PAC ID: 6103873245 Enrollment ID: I20050331001194 |
| Provider Name | Morgan Norton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487622668 PECOS PAC ID: 4486750189 Enrollment ID: I20070425000697 |
| Provider Name | Nathan J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881886638 PECOS PAC ID: 7012051782 Enrollment ID: I20100713000166 |
| Provider Name | Anil Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942433305 PECOS PAC ID: 4880823004 Enrollment ID: I20140211001598 |
| Provider Name | Jennifer Blaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659766939 PECOS PAC ID: 6305158932 Enrollment ID: I20150709002495 |
| Provider Name | Amanda D Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629489133 PECOS PAC ID: 6507170255 Enrollment ID: I20160916000300 |
| Provider Name | Caleb Oster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306226212 PECOS PAC ID: 7113273061 Enrollment ID: I20180706001045 |
| Provider Name | Jonathan Moser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922539907 PECOS PAC ID: 9133497209 Enrollment ID: I20190313000680 |
| Provider Name | Doreen M Kamoga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518490648 PECOS PAC ID: 9739459116 Enrollment ID: I20200608001464 |
| Provider Name | Kalyan Gonugunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528306503 PECOS PAC ID: 3971737263 Enrollment ID: I20200609002051 |
| Provider Name | Shoaib Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548767130 PECOS PAC ID: 4385909951 Enrollment ID: I20210722000565 |
| Provider Name | Janani Md Baskaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053836510 PECOS PAC ID: 1052714102 Enrollment ID: I20210727001474 |
| Provider Name | Michael B Andryka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245727163 PECOS PAC ID: 0941565543 Enrollment ID: I20210817000493 |
| Provider Name | Wyatt L Lydolph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831505742 PECOS PAC ID: 6103181797 Enrollment ID: I20211006002629 |
| Provider Name | Edwin Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588169965 PECOS PAC ID: 4284968926 Enrollment ID: I20220628002993 |
| Provider Name | David Tanner Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427760842 PECOS PAC ID: 6709256076 Enrollment ID: I20221230002050 |
| Provider Name | Jeanne Renee' Markowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720867492 PECOS PAC ID: 0840646485 Enrollment ID: I20231102000482 |
| Provider Name | Brooke Nicole Whitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619752771 PECOS PAC ID: 1850748856 Enrollment ID: I20231113003628 |
| Provider Name | Neelima Gonugunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235371303 PECOS PAC ID: 2062812530 Enrollment ID: I20241003000262 |
| Provider Name | Sarah Deanne Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578372660 PECOS PAC ID: 2062941412 Enrollment ID: I20250129003181 |
| Provider Name | Kathryn E Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639963242 PECOS PAC ID: 3971022435 Enrollment ID: I20250528001601 |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 Harrison St Ste D, Batesville, AR 72501 Phone: 870-347-2534 | |
Jordan Weaver, M.d.,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 Harrison St, Batesville, AR 72501 Phone: 870-793-2540 | |
Arkansas Family Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Harrison St, Suite D, Batesville, AR 72501 Phone: 870-793-4724 Fax: 870-793-4725 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2450 Batesville Blvd, Batesville, AR 72501 Phone: 870-347-2534 | |
White River Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 Harrison St, Batesville, AR 72501 Phone: 870-262-4444 | |
White River Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Harrison St, Batesville, AR 72501 Phone: 870-262-6171 Fax: 870-262-6088 | |
White River Health System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 Batesville Blvd, Batesville, AR 72501 Phone: 870-262-2800 Fax: 870-262-2815 |