JOHNSON REGIONAL MEDICAL CENTER (NPI# 1336198555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336198555 |
| Entity Type | Organization |
| Organization Name | JOHNSON REGIONAL MEDICAL CENTER |
| Other Organization Name | JRMC PROVIDER BASED PHYSICIANS |
| Practice Address |
1100 E Poplar St Clarksville AR 72830-4419 |
| Mailing Address |
Po Box 738 Clarksville AR 72830-0738 |
| Practice Telephone | 4797545454 |
| Practice Fax Number | 4797545311 |
| Mailing Telephone | 4797545454 |
| Mailing Fax Number | 4797545311 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | MR. ROBERT LARRY MORSE (ADMINISTRATOR) |
| Authorized Official Telephone | 4797545454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 128372002 | 05 | |
| AR | ARKANSAS BLUE CROSS | 57977 | 01 |
| Other Name | Type Code |
|---|---|
| JRMC Provider Based Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134116049 | Johnson Regional Medical Center | General Acute Care Hospital | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2005-10-05 |
| 1639557226 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2015-05-14 |
| 1447597265 | Johnson Regional Medical Center | Hospitalist | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-14 |
| 1801124177 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2009-11-25 |
| 1275753881 | Johnson Regional Medical Center | Ambulance | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2007-04-26 |
| 1275558710 | Johnson Regional Medical Center | Surgery | 2 Medicine Dr, Clarksville, AR 72830-4431 | 2006-07-13 |
| 1255380416 | Johnson Regional Medical Center | Home Health | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1265481337 | Johnson Regional Medical Center | Psychiatric Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1841249943 | Johnson Regional Medical Center | Rehabilitation Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1134178130 | Johnson Regional Medical Center | Medicare Defined Swing Bed Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| Street Address |
1100 E POPLAR ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134116049 | Johnson Regional Medical Center | General Acute Care Hospital | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2005-10-05 |
| 1609259753 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2015-07-08 |
| 1205226925 | Jesalyn Dove Wilson | Physician Assistant | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2015-02-02 |
| 1568704765 | Arkansas Em-i Byrne Medical Services, Pa | Physician Assistant | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-26 |
| 1871835678 | Will Spada Creek Emergency Physicians | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-20 |
| 1952643686 | Spada Creek Emergency Physicians, LLC | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-20 |
| 1013255777 | Access Family Medicine, Inc. | Clinic/Center | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-30 |
| 1447597265 | Johnson Regional Medical Center | Hospitalist | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-14 |
| 1750635249 | Nola Diane Hays | Nurse Practitioner | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2012-11-05 |
| 1710251418 | Laurie Smith Fisher, M.d., Inc | Clinic/Center | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2012-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578728002 | Simon Martin Spilkin | Emergency Medicine | 1492 Tiny Town Rd, Suite A1&a2, Clarksville, TN 37042-7873 | 2008-07-24 |
| 1144417528 | Ameet Sharad Parikh | Emergency Medicine | 12313 Daniel Circle Ln, Clarksville, MD 21029-1197 | 2007-09-28 |
| 1003993213 | Kaiser Ahmad, Pa | Emergency Medicine | 6404 Western Star Run, Clarksville, MD 21029-1247 | 2006-11-01 |
| 1760599575 | Syed Ahmed Naseeruddin | Emergency Medicine | 137 Village Way, Clarksville, TN 37043-5458 | 2006-08-25 |
| 1346277324 | Jackie L Hinds | Emergency Medicine | 651 Dunlop Ln., Gateway Med Center, Clarksville, TN 37040-5015 | 2006-06-27 |
| 1841239647 | Gregory Laurent Conner | Emergency Medicine | 2191 Memorial Dr, Aptartment G95, Clarksville, TN 37043-4797 | 2006-06-06 |
| 1174570014 | Mark A Muiznieks | Emergency Medicine | 651 Dunlop Lane Clarksville, Clarksville, TN 37040-5015 | 2006-05-27 |
| 1568446268 | Henry Shipley Hewes | Emergency Medicine | 720 County Road 3100, Clarksville, TX 75426-6612 | 2005-12-06 |
| 1194259630 | Logan Snyder I | Emergency Medicine | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-04-11 |
| 1609259753 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2015-07-08 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on JOHNSON REGIONAL MEDICAL CENTER.
| 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.