BAXTER COUNTY REGIONAL HOSPITAL


Address: 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952
Phone: 8705083250

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
AR3827 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 101068002 05

Other Provider/Organization Names

Other Name Type Code
Baxter Regional Pulmonology Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 628 HOSPITAL DR STE 3A
City MOUNTAIN HOME
State AR
Zip Code 72653-2952

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City MOUNTAIN HOME
Zip Code 72653

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Dataset Information

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.

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