DR. CHARLES CLIFTON (NPI# 1366554743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366554743 |
| Entity Type | Individual |
| Full Name | DR. CHARLES CLIFTON |
| Credential | M.D. |
| Practice Address |
55a South Broadview Greenbrier AR 72058-9475 |
| Mailing Address |
Po Box 596 Greenbrier AR 72058-0596 |
| Practice Telephone | 5016794030 |
| Practice Fax Number | 5016794037 |
| Mailing Telephone | 5016794030 |
| Mailing Fax Number | 5016794037 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C7608 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | C7658 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 710781138 | 01 | |
| AR | 115622001 | 05 | |
| AR | QUAL CHOICE | 13149000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076102 | Charles Steven Clifton | Physician Assistant | 396 S Main St, Crossville, TN 38555-5092 | 2005-10-11 |
| 1376935965 | Charles Clifton | Pharmacist | 2150 Dixie Hwy, Fort Mitchell, KY 41017-2902 | 2015-02-19 |
| 1912240904 | Charles Clifton | Family Medicine | 13515 Wolfe Rd, Suite C, New Freedom, PA 17349-9346 | 2013-03-28 |
| 1366587040 | Charles Russell Clifton Jr. | Psychologist | 2121 Nw 40th Terrace, Suite B, Gainesville, FL 32605 | 2007-02-21 |
| 1194764795 | Charles L Clifton Jr. | Anesthesiology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2006-06-06 |
| Street Address |
55A SOUTH BROADVIEW |
| City | GREENBRIER |
| State | AR |
| Zip Code | 72058-9475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296570 | Lauren Michelle Davis | Pharmacist | 61a South Broadview Street, Greenbrier, AR 72058 | 2019-10-10 |
| 1851941751 | Carmen M. Crawford | Technician | 129 Mill Creek Dr., Greenbrier, AR 72058 | 2019-09-13 |
| 1659935476 | Thomas A Bradley | Nurse Practitioner | 20 Wilson Farm Rd, Greenbrier, AR 72058 | 2019-04-26 |
| 1235614421 | Greenbrier Pharmacy Inc | Pharmacy | 61a South Broadview St, Greenbrier, AR 72058 | 2018-10-03 |
| 1912453127 | Sarah Ellington | Speech-Language Pathologist | 8 Wilson Farm Rd Suite F, Greenbrier, AR 72058 | 2016-08-28 |
| 1487056628 | Tammy Dallari | Occupational Therapist | 92 A S Broadview St, Greenbrier, AR 72058 | 2014-09-18 |
| 1427300953 | Elizabeth Mcclelland | Occupational Therapist | 92 A South Broadveiw, Hwy 65, Greenbrier, AR 72058 | 2012-10-08 |
| 1891040564 | Kristina Mcgee | Speech-Language Pathologist | 92 South Broadveiw, Hwy 65, Greenbrier, AR 72058 | 2012-07-19 |
| 1003189606 | Conway Childrens Clinic Pa Corp | Clinic/Center | 10 Lois Lane, Greenbrier, AR 72058 | 2012-02-14 |
| 1861797813 | Harps Food Stores Inc | Pharmacy | 15 North Broadview Street, Greenbrier, AR 72058 | 2011-01-24 |
| Find all providers in zip 72058 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063705218 | Arkansas Health Group | Family Medicine | 49 S Broadview St Ste 1, Greenbrier, AR 72058-8011 | 2011-05-20 |
| 1265622468 | Alyson Michele Fish | Family Medicine | 25 Business Park, Greenbrier, AR 72058-9475 | 2007-07-25 |
| 1558473058 | Gary Wayne Bowman | Family Medicine | 55a S Broadview, Greenbrier, AR 72058 | 2006-08-31 |
| 1316944648 | William Michael Lewis | Family Medicine | 2557 Highway 41 S, Greenbrier, TN 37073-5516 | 2005-07-01 |
| 1780246959 | Access Medical Clinic Arkansas LLC | Family Medicine | 20 Wilson Farm Rd, Greenbrier, AR 72058 | 2019-07-08 |
| 1366831448 | Family First Primary Care, Pa | Family Medicine | 25 Business Park Dr, Greenbrier, AR 72058 | 2015-01-13 |
| 1346509478 | Jessica Renea Tackett | Family Medicine | 49 S Broadview St Ste 1, Greenbrier, AR 72058-8011 | 2012-05-09 |
| 1093030918 | James R Fulmer Jr. | Family Medicine | 110 N Broadview St, Greenbrier, AR 72058-9475 | 2010-04-03 |
| 1114071396 | Family Healthcare Associates of Greenbrier | Family Medicine | 2557 Highway 41 S, Greenbrier, TN 37073-5516 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609833 | Lafayette County Family Practice | Family Medicine | 226 Spruce Street, Lewisville, AR 71845 | 2020-11-06 |
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1932709995 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 505 W Section Line Road, Poyen, AR 72128 | 2020-10-29 |
| 1124627781 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 370 Highway 215, Oark, AR 72852-8858 | 2020-10-23 |
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1417563321 | Access Medical Clinic Arkansas LLC | Family Medicine | 444 Taylor Circle, Cave City, AR 72521 | 2020-09-17 |
| 1871107474 | Mimo Medical Services, LLC | Family Medicine | 2506 Crestview Dr, Magnolia, AR 71753-4336 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | GREENBRIER |
| Zip Code | 72058 |
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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.