AMMC PHYSICIAN SERVICES, INC. (NPI# 1477836302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477836302 |
| Entity Type | Organization |
| Organization Name | AMMC PHYSICIAN SERVICES, INC. |
| Practice Address |
1000 W Kingshighway Paragould AR 72450-4141 |
| Mailing Address |
900 W Kingshighway Paragould AR 72450-5942 |
| Practice Telephone | 8702398592 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | BRAD BLOEMER (CFO) |
| Authorized Official Telephone | 8702397102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427350990 | Ammc Physician Services, Inc. | Urology | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2010-12-03 |
| 1215247572 | Ammc Physician Services, Inc. | Orthopaedic Surgery | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2010-10-20 |
| Street Address |
1000 W KINGSHIGHWAY |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308769 | Richard Lowell Hardcastle | Ophthalmology | 1000 W Kingshighway, Ste 5, Paragould, AR 72450-4141 | 2005-07-07 |
| 1639657984 | Hillary Tripod Jones | Audiologist | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2018-07-30 |
| 1427421288 | Carie Cesare | Nurse Practitioner | 1000 W Kingshighway, Suite 4, Paragould, AR 72450 | 2015-11-02 |
| 1821356601 | Jennifer Ellen Susoreny-velgos | Surgery | 1000 W Kingshighway, Suite 13, Paragould, AR 72450 | 2012-04-30 |
| 1356638290 | Kirk A Coward | Nurse Practitioner | 1000 W Kingshighway, Suite 12, Paragould, AR 72450-4141 | 2011-06-29 |
| 1427350990 | Ammc Physician Services, Inc. | Urology | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2010-12-03 |
| 1215247572 | Ammc Physician Services, Inc. | Orthopaedic Surgery | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2010-10-20 |
| 1174850705 | Ammc Physician Services Inc | Surgery | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2009-11-03 |
| 1891022422 | Ammc Physician Services Inc | Orthopaedic Surgery | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2009-11-03 |
| 1336371863 | Victoria Renee' Williams | Nurse Practitioner | 1000 W Kingshighway, Suite #4, Paragould, AR 72450-4141 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1922088269 | Adalberto R Fonticiella | Internal Medicine | 1000 West Kingshighway, Suite 12, Paragould, AR 72450-8894 | 2006-01-20 |
| 1497822621 | William T Dement | Internal Medicine | 2420 Linwood Dr, Paragould, AR 72450-6122 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066955 | Thomas W Atkinson Md Pa | Internal Medicine | 1670 East Joyce Blvd Suite 2, Fayetteville, AR 72703-0030 | 2020-03-03 |
| 1750927109 | Inpatient Solutions | Internal Medicine | 107 Turtle Creek Rd, Benton, AR 72015-6466 | 2019-11-20 |
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1699252361 | Dan Webb Md Long Term Care | Internal Medicine | 1310 S Avalon St, West Memphis, AR 72301-6271 | 2018-07-25 |
| 1164919684 | Matthew Carpenter | Internal Medicine | Imrp Clinic 300 Carson Street, Jonesboro, AR 72401 | 2018-04-19 |
| 1740797422 | Healthville Pllc | Internal Medicine | 11219 Financial Centre Pkwy Ste 316, Little Rock, AR 72211-3895 | 2018-01-04 |
| 1629595566 | Impact Health Services, Pllc | Internal Medicine | 5027 N County Road 1015, Blytheville, AR 72315-6951 | 2017-08-22 |
| 1891229548 | Arkansas Health Group | Internal Medicine | 3201 Springhill Dr Ste 100a, North Little Rock, AR 72117-2910 | 2017-04-19 |
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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.