BAXTER COUNTY REGIONAL HOSPITAL (NPI# 1467537324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467537324 |
| Entity Type | Organization |
| Organization Name | BAXTER COUNTY REGIONAL HOSPITAL |
| Other Organization Name | BAXTER REGIONAL PULMONOLOGY CLINIC |
| Practice Address |
628 Hospital Dr Ste 3a Mountain Home AR 72653-2952 |
| Practice Telephone | 8705083250 |
| Mailing Telephone | 8705083250 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | IVAN HOLLEMAN (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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101068002 | 05 |
| Other Name | Type Code |
|---|---|
| Baxter Regional Pulmonology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871662734 | Baxter County Regional Hospital | Family Medicine | 970 Ash Flat Dr, Ash Flat, AR 72513-0790 | 2006-11-07 |
| 1528143484 | Baxter County Regional Hospital | Orthopaedic Surgery | 310 Buttercup Dr Ste A, Mountain Home, AR 72653-2932 | 2006-10-26 |
| 1285719146 | Baxter County Regional Hospital | Internal Medicine | 310 Buttercup Dr Ste C, Mountain Home, AR 72653-2932 | 2006-10-26 |
| 1700968567 | Baxter County Regional Hospital | Family Medicine | 707 Third St, Horseshoe Bend, AR 72512-3732 | 2006-10-20 |
| 1255501706 | Baxter County Regional Hospital | Orthopaedic Surgery | 310 Buttercup Dr, Suite A, Mountain Home, AR 72653-2921 | 2008-03-11 |
| 1659400257 | Baxter County Regional Hospital | Urology | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952 | 2007-03-02 |
| Street Address |
628 HOSPITAL DR STE 3A |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770991143 | Rodney Samuel Traeger | Specialist | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653 | 2014-07-29 |
| 1144662875 | Daniel Fernando Zapata | Urology | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952 | 2013-07-23 |
| 1659400257 | Baxter County Regional Hospital | Urology | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952 | 2007-03-02 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1447420997 | Baxter County Regional Hospital Inc | Internal Medicine | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| 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 |
Please comment or provide details below to improve the information on BAXTER COUNTY REGIONAL HOSPITAL.
| 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.