JOHN PATTON BLACK,MD (NPI# 1194766584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194766584 |
Entity Type | Organization |
Organization Name | JOHN PATTON BLACK,MD |
Other Organization Name | DBA MOUNTAIN HOME EMERGENCY GROUP |
Practice Address |
624 Hospital Dr Mountain Home AR 72653-2955 |
Mailing Address |
Po Box 2443 Mountain Home AR 72654-2443 |
Practice Telephone | 8704247070 |
Practice Fax Number | 8704246616 |
Mailing Telephone | 8704247070 |
Mailing Fax Number | 8704246616 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2007-12-17 |
Authorized Official Name | DR. JOHN PATTON BLACK (OWNER) |
Authorized Official Telephone | 8704247070 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146D00000X | Personal Emergency Response Attendant | C67844 | AR | Emergency Medical Service Providers |
Other Name | Type Code |
---|---|
DBA MOUNTAIN HOME EMERGENCY GROUP | Doing Business As Name - Organization |
Street Address |
624 HOSPITAL DR |
City | MOUNTAIN HOME |
State | AR |
Zip Code | 72653-2955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942296900 | Michael L Recktenwald | Pharmacist | 624 Hospital Dr, Employee Pharmacy Department, Mountain Home, AR 72653-2955 | 2005-09-26 |
1790308146 | Christopher Justin Robinson | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-20 |
1164044665 | Jeffrey Dupre Jr. | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-07 |
1851924765 | Jordan Frey Eldridge | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-19 |
1588296586 | Amanda M Horne | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-07 |
1962976472 | Baxter County Regional Hospital, Inc | General Acute Care Hospital | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2019-01-17 |
1184127292 | Meagan Thitoff | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-03-15 |
1972002020 | Sarah Marie Eaton | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-02-05 |
1508364449 | Lacey Hlass | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-25 |
1881102192 | Elizabeth Ann Smithhart | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
Find all providers in zip 72653 |
Taxonomy Code | 146D00000X |
Grouping | Emergency Medical Service Providers |
Classification | Personal Emergency Response Attendant |
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497879068 | Jerilyn Marie Oaks | Personal Emergency Response Attendant | Corner of Lamont and Veterans Way, James H Quillen Va Medical Center, Mountain Home, TN 37684-4000 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063608883 | Stephen Timonthy Southard | Personal Emergency Response Attendant | 102 Epperson Dr, Cabot, AR 72023-2104 | 2007-09-16 |
1316149701 | Kingdom Concepts, Inc. | Personal Emergency Response Attendant | 534 W Faulkner St, El Dorado, AR 71730-4544 | 2007-06-05 |
1174550990 | Larry Price | Personal Emergency Response Attendant | 1298 Old Cove Rd, Russellville, AR 72802-1563 | 2006-06-27 |
1902832710 | Todd Carter | Personal Emergency Response Attendant | 2302 College Avenue, Conway, AR 72034 | 2006-06-23 |
1710929518 | River Valley Emergency Physicians | Personal Emergency Response Attendant | 2609 Military Rd, Benton, AR 72015-2717 | 2006-06-13 |
1962473728 | St Edward Mercy Foundation | Personal Emergency Response Attendant | 5401 Ellsworth Rd, Fort Smith, AR 72903-3219 | 2006-01-30 |
1669922308 | Teryn Denae Laseter | Personal Emergency Response Attendant | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-10-05 |
1518153337 | Lois Elaine Southard | Personal Emergency Response Attendant | 102 Epperson Dr, Cabot, AR 72023-2104 | 2007-09-16 |
1699972059 | Steven Charles Schueller | Personal Emergency Response Attendant | 1000 Walnut Street, Crossett, AR 71635-3542 | 2007-06-29 |
1568542603 | Garnett Julian Leonard | Personal Emergency Response Attendant | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-16 |
Find all providers with the same taxonomy |
City | MOUNTAIN HOME |
Zip Code | 72653 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.