FORREST CITY FAMILY PRACTICE CLINIC, PA (NPI# 1649396979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649396979 |
| Entity Type | Organization |
| Organization Name | FORREST CITY FAMILY PRACTICE CLINIC, PA |
| Practice Address |
902 Holiday Dr Suite 101 Forrest City AR 72335-9183 |
| Practice Telephone | 8706301256 |
| Mailing Telephone | 8706301256 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | NEIDA BYRD (BILLING MANAGER) |
| Authorized Official Telephone | 9017373071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
R3762 | AR | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
R3762 | AR | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
R3762 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS INDV NUMBER | 51280 | 01 |
| AR | BCBS GROUP ID | R3762 | 01 |
| AR | 113530001 | 05 |
| Street Address |
902 HOLIDAY DR SUITE 101 |
| City | FORREST CITY |
| State | AR |
| Zip Code | 72335-9183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568451136 | Frank Rankin Schwartz IIi | Internal Medicine | 902 Holiday Dr, Forrest City, AR 72335-9117 | 2005-10-17 |
| 1972710838 | Dr. Cem Sarinoglu, Pa | Specialist | 902 Holiday Dr, Suite 102, Forrest City, AR 72335-9183 | 2007-05-17 |
| 1942339890 | Frank R Schwartz Md Pa | Internal Medicine | 902 Holiday Dr, Suite 103, Forrest City, AR 72335-9183 | 2007-03-05 |
| 1700966033 | Lana Mears | Nurse Practitioner | 902 Holiday Dr, Suite 102, Forrest City, AR 72335-9183 | 2006-10-17 |
| 1699711697 | Cem Sarinoglu | Specialist | 902 Holiday Dr, Suite 102, Forrest City, AR 72335-9183 | 2006-06-20 |
| 1063460335 | George Conner IIi | Family Medicine | 902 Holiday Dr, Ste 101, Forrest City, AR 72335-9183 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1922545383 | Kimberly Burnett | Speech-Language Pathologist | 400 Dawson Rd., Forrest City, AR 72335 | 2017-01-24 |
| 1134510951 | Kaylee Marple | Occupational Therapy Assistant | 726 North Washington St, Forrest City, AR 72335 | 2015-02-16 |
| 1033534185 | My Ride Transportation 2, LLC. | Non-emergency Medical Transport (VAN) | 224 Bond Dr., Forrest City, AR 72335 | 2014-02-26 |
| 1457796187 | Katherine Elizabeth Ramsey | Occupational Therapy Assistant | 3326 Highway 1 South, Forrest City, AR 72335 | 2013-05-08 |
| 1902158785 | Brittany Nicole Mitchell | Speech-Language Pathologist | 149 Water St., Lincoln Middle School, Forrest City, AR 72335 | 2012-10-04 |
| 1114278058 | Ashley Danielle Busby | Speech-Language Pathologist | 801 Deadrick Road, Forrest City, AR 72335 | 2012-10-01 |
| 1548569585 | East Arkansas Physical Therapy | Clinic/Center | 3150 N Washington, Forrest City, AR 72335 | 2011-03-16 |
| 1487801007 | David George Boyles | Psychologist | 3998 Highway 1 North, Forrest City, AR 72335 | 2008-08-26 |
| 1255515581 | Shontel Denise Wilson | Speech-Language Pathologist | 300 Eldridge Rd, Suite 1, Forrest City, AR 72335 | 2007-12-21 |
| Find all providers in zip 72335 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962647628 | Ellis Morgan Collins Jr. | Family Medicine | 1301 E Broadway St, Forrest City, AR 72335-3922 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042893 | Kidneysue, LLC | Family Medicine | 216 Summit Ridge Pl, Hot Springs, AR 71901-8671 | 2020-01-21 |
| 1619470275 | Haley Walters | Family Medicine | 210 S Thompson St Ste 5, Springdale, AR 72764-4261 | 2018-03-09 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1649556150 | Joseph Edward Hughes | Family Medicine | 1009 Rossland Dr, Jonesboro, AR 72404-8471 | 2011-10-28 |
| 1104105972 | Shipley & Sills Family Practice, Pllc | Family Medicine | 4003 Massard Rd., Fort Smith, AR 72903 | 2011-08-11 |
| 1649417361 | Gerald Lawrence Guyer | Family Medicine | 2915 Ashley Dr, Conway, AR 72034-7336 | 2009-01-16 |
| 1578759965 | Timothy Ewing Bainum | Family Medicine | 2673 Highway 70 E, Glenwood, AR 71943-8750 | 2007-09-19 |
| 1356563241 | Gil Johnson | Family Medicine | 2511 A College Ave, Conway, AR 72034-6135 | 2007-05-02 |
| 1821172651 | Romana Rayaz | Family Medicine | 4300 W 7th St # West, Little Rock, AR 72205-5446 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FORREST CITY |
| Zip Code | 72335 |
Please comment or provide details below to improve the information on FORREST CITY FAMILY PRACTICE CLINIC, PA.
| 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.