BAXTER COUNTY REGIONAL HOSPITAL INC (NPI# 1447420997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447420997 |
| Entity Type | Organization |
| Organization Name | BAXTER COUNTY REGIONAL HOSPITAL INC |
| Other Organization Name | D/B/A BAXTER REGIONAL PULMONOLOGY CLINIC |
| Practice Address |
628 Hospital Dr Suite 3a Mountain Home AR 72653-2953 |
| Practice Telephone | 8705083250 |
| Practice Fax Number | 8705081359 |
| Mailing Telephone | 8705083250 |
| Mailing Fax Number | 8705081359 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | DEBRA HENRY (CFO) |
| Authorized Official Telephone | 8705081003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
AR3827 | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| D/B/A BAXTER REGIONAL PULMONOLOGY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710541289 | Baxter County Regional Hospital Inc | Clinic/Center | 414 W Old Main St Ste B, Yellville, AR 72687-8284 | 2019-04-30 |
| 1093242000 | Baxter County Regional Hospital Inc | Urology | 628 Hospital Dr Ste 2b, Mountain Home, AR 72653-2953 | 2017-05-22 |
| 1093242018 | Baxter County Regional Hospital Inc | Obstetrics & Gynecology | 628 Hospital Dr Ste 3b, Mountain Home, AR 72653-2953 | 2017-05-22 |
| 1871128116 | Baxter County Regional Hospital Inc | Internal Medicine | 310 Buttercup Dr, Suite C, Mountain Home, AR 72653 | 2020-03-06 |
| 1720515737 | Baxter County Regional Hospital Inc | Neurological Surgery | 310 Buttercup Dr Ste A, Mountain Home, AR 72653-2932 | 2017-05-22 |
| 1457893281 | Baxter County Regional Hospital Inc | Internal Medicine | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2016-11-10 |
| 1598030579 | Baxter County Regional Hospital Inc | Clinic/Center | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2012-03-09 |
| 1518239896 | Baxter County Regional Hospital Inc | Obstetrics & Gynecology | 444 Hospital Dr, Mountain Home, AR 72653-2900 | 2012-02-02 |
| 1205157427 | Baxter County Regional Hospital Inc | Nurse Practitioner | 65 Wal Mart Dr, Mountain Home, AR 72653-6784 | 2010-06-22 |
| 1841437175 | Baxter County Regional Hospital Inc | Specialist | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2009-01-08 |
| Street Address |
628 HOSPITAL DR SUITE 3A |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894555 | Stephen C. Lattanzi | Internal Medicine | 628 Hospital Dr, Ground Floor, Suite A, Mountain Home, AR 72653-2953 | 2005-07-07 |
| 1265899363 | Baxter County Regional Hospital, Inc | Internal Medicine | 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 | 2016-01-20 |
| 1720477086 | Marcella Bobette Bramblett | Nurse Practitioner | 628 Hospital Dr, Ste E, Mountain Home, AR 72653-2953 | 2015-01-09 |
| 1386071785 | Kathleen Joy Prinner | Clinical Nurse Specialist | 628 Hospital Dr, Suite 3e, Mountain Home, AR 72653-2953 | 2013-09-30 |
| 1598030579 | Baxter County Regional Hospital Inc | Clinic/Center | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2012-03-09 |
| 1639407323 | M B Moore Md Orthopaedic Surgeon Pa | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-11-18 |
| 1841422003 | Aaron J Wallace, Md,pllc | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-08-20 |
| 1912156068 | Diana Sue Riley | Physician Assistant | 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653-2953 | 2008-09-13 |
| 1013179498 | Mcbride Orthopaedics, Pllc | Orthopaedic Surgery | 628 Hospital Dr, Ground Floor, Suite D, Mountain Home, AR 72653-2953 | 2008-06-27 |
| 1003086646 | Baxter County Regional Hospital Inc. | Urology | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467537324 | Baxter County Regional Hospital | Internal Medicine | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952 | 2006-10-26 |
| 1972534410 | Miguel Antonio Ossorio | Internal Medicine | James H.quillen Medical Center, Mountain Home, TN 37684 | 2006-07-05 |
| 1669787784 | Brian Imbao Malte | Internal Medicine | 555 W 6th St, Mountain Home, AR 72653-3409 | 2010-08-12 |
| 1013949031 | Thomas Michael Roy | Internal Medicine | Corner of Sidney and Lamont, 111-b, Mountain Home, TN 37614 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031714 | Nizar Suleman Md LLC | Internal Medicine | 115 Summertime Bay, Hot Springs, AR 71913-1839 | 2020-04-13 |
| 1609317429 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr Ste 900, Little Rock, AR 72205-6331 | 2017-03-13 |
| 1801207857 | Nathan Thomas Hill | Internal Medicine | 5800 W 10th St Ste 610, Little Rock, AR 72204-1761 | 2014-05-13 |
| 1801235304 | Alok Surana | Internal Medicine | 525 Western Ave Ste 305, Conway, AR 72034-4982 | 2013-06-18 |
| 1831445261 | Krishna Siva Sai Kakkera | Internal Medicine | 16 Hospital Cir Ste A, Batesville, AR 72501-7343 | 2012-08-03 |
| 1538460951 | Muhammad Qasim Salar Mir | Internal Medicine | 2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 | 2010-11-17 |
| 1134385735 | Janice J Gunnels | Internal Medicine | 238 Marsh Harbor Dr, Hot Springs, AR 71913-7766 | 2008-08-03 |
| 1215196233 | Shahla Gul Naoman | Internal Medicine | 16 Hospital Cir, Batesville, AR 72501-7343 | 2008-06-05 |
| 1396954228 | Jefferson Pulm Cc Pa | Internal Medicine | 606 Roberts Drive, Monticello, AR 71655 | 2007-05-21 |
| 1104981737 | William Lee Mason | Internal Medicine | Pob 1437 Slot H-61, Arkansas Dept of Health, Little Rock, AR 72203-1437 | 2006-12-26 |
| 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.