ARKANSAS HEALTH GROUP (NPI# 1548239247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548239247 |
| Entity Type | Organization |
| Organization Name | ARKANSAS HEALTH GROUP |
| Other Organization Name | PAULK FAMILY CLINIC/A BAPTIST HEALTH AFFILIATE |
| Practice Address |
1110 W Vine St Sheridan AR 72150-7804 |
| Mailing Address |
11001 Executive Center Dr Suite 200 Little Rock AR 72211-4316 |
| Practice Telephone | 8709425155 |
| Practice Fax Number | 8709428791 |
| Mailing Telephone | 5018127800 |
| Mailing Fax Number | 5018127851 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2009-02-09 |
| Authorized Official Name | DR. CLYDE D PAULK (PHYSICIAN) |
| Authorized Official Telephone | 8709425155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ARKANSAS HEALTH GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C3204 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AETNA | 5901655 | 01 |
| AR | QUALCHOICE | 14003000000 | 01 |
| AR | 128401002 | 05 | |
| AR | BREASTCARE | 770017602 | 01 |
| Other Name | Type Code |
|---|---|
| Paulk Family Clinic/A Baptist Health Affiliate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1568954147 | Arkansas Health Group | Obstetrics & Gynecology | 9601 Baptist Health Dr Ste 250, Little Rock, AR 72205 | 2018-05-31 |
| 1184127052 | Arkansas Health Group | Obstetrics & Gynecology | 3201 Springhill Dr Ste 130, North Little Rock, AR 72117-2910 | 2018-03-16 |
| 1346769767 | Arkansas Health Group | Psychiatry & Neurology | 625 United Dr Ste 370b, Conway, AR 72032-7826 | 2017-09-18 |
| 1891229548 | Arkansas Health Group | Internal Medicine | 3201 Springhill Dr Ste 100a, North Little Rock, AR 72117-2910 | 2017-04-19 |
| 1609317429 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr Ste 900, Little Rock, AR 72205-6331 | 2017-03-13 |
| 1952840555 | Arkansas Health Group | Surgery | 1703 N Buerkle St Ste 4, Stuttgart, AR 72160-3153 | 2017-02-15 |
| 1992154462 | Arkansas Health Group | Family Medicine | 401 W Capitol Ave Ste 101b, Little Rock, AR 72201-3421 | 2016-06-06 |
| 1588012728 | Arkansas Health Group | Family Medicine | 625 United Dr Ste 120a, Conway, AR 72032-7826 | 2016-05-27 |
| Street Address |
1110 W VINE ST |
| City | SHERIDAN |
| State | AR |
| Zip Code | 72150-7804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656180 | Ryan Harris | Pharmacist | 821 N Rock Street, Sheridan, AR 72150 | 2019-08-30 |
| 1538561188 | Assisted Care for Seniors | In Home Supportive Care | 102 Center Street, Suite A, Sheridan, AR 72150 | 2014-09-25 |
| 1679653885 | Rodman & Armstrong Partnership | Optometrist | 201 W Holly, Sheridan, AR 72150 | 2006-10-16 |
| 1881790236 | Paul D Fitzgerald | Dentist | 209 W Holly, Sheridan, AR 72150 | 2006-09-15 |
| 1811912207 | Nancy Watson | Nurse Practitioner | 109 West Pine St., Suite A, Sheridan, AR 72150 | 2006-07-13 |
| 1356320832 | John B Simpson | Family Medicine | 651 Heritage Dr, Sheridan, AR 72150 | 2006-01-12 |
| 1548607161 | Deanna Hardiman | Counselor | 201 S Rose St, Sheridan, AR 72150 | 2013-05-23 |
| 1508130626 | Dorris Faye West | Technician/Technologist | 103 South Oak Street, Sheridan, AR 72150 | 2012-03-07 |
| 1689987620 | Melissa Gail Drake | Nurse Practitioner | 651 Heritage Dr, Sheridan, AR 72150 | 2010-07-20 |
| 1154594380 | Bhc Pinnacle Pointe Hospital | Clinic/Center | 201 S Rose St, Sheridan, AR 72150 | 2008-04-09 |
| Find all providers in zip 72150 | ||||
| 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 |
|---|---|---|---|---|
| 1891326633 | William A Highsmith Md Pa | Family Medicine | 21 Opportunity Drive, Sheridan, AR 72150-9185 | 2020-01-30 |
| 1508360413 | Access Medical Clinic Arkansas LLC | Family Medicine | 810 S Rock St, Sheridan, AR 72150-7066 | 2018-03-23 |
| 1851562706 | Turner Medical Clinic Inc | Family Medicine | 101 North Rose, Sheridan, AR 72150-2137 | 2008-03-19 |
| 1063624047 | Ronald L. Steury, D. O., P. C. | Family Medicine | 303 Congress St., Sheridan, MI 48884 | 2007-05-04 |
| 1851490874 | Michele L Bennett | Family Medicine | 248 W Works St, Sheridan, WY 82801-4213 | 2006-09-22 |
| 1154420768 | Sheridan Family Practice, P.C. | Family Medicine | 1435 Burton St, Sheridan, WY 82801-2723 | 2006-09-21 |
| 1679679393 | James Patrick Molloy IIi | Family Medicine | 950 Se Sheridan Rd, Sheridan, OR 97378-1913 | 2006-09-16 |
| 1467419036 | Kimberly Gartman | Family Medicine | 13911 Highway 270, Sheridan, AR 72150-9428 | 2006-04-27 |
| 1033173604 | Willamette Valley Clinics LLC | Family Medicine | 222 Se Jefferson St, Sheridan, OR 97378-1924 | 2006-04-12 |
| 1497724157 | Clyde Dodson Paulk | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2006-03-15 |
| Find all providers in SHERIDAN | ||||
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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.