DR. LARRY BRYAN JENNINGS (NPI# 1750386553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750386553 |
| Entity Type | Individual |
| Full Name | DR. LARRY BRYAN JENNINGS |
| Credential | DO |
| Practice Address |
2263 Highway 65 North Marshall AR 72650-1060 |
| Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
| Practice Telephone | 8704485733 |
| Practice Fax Number | 8704483392 |
| Mailing Telephone | 8704485733 |
| Mailing Fax Number | 8704485736 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R2480 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS ARKANSAS | 52660B477 | 01 |
| AR | BLUE CROSS AR | 52660 | 01 |
| AR | RAILROAD MEDICARE PIN | P00014273 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740255223 | Larry E Jennings | Family Medicine | 214 N. West Avenue, Jackson, MI 49201 | 2006-02-20 |
| Street Address |
2263 HIGHWAY 65 NORTH |
| City | MARSHALL |
| State | AR |
| Zip Code | 72650-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346784162 | Boston Mountain Rural Health Center, Inc | Registered Nurse | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2016-12-13 |
| 1538530316 | Neil Langer I | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2015-10-19 |
| 1275932634 | Macy Annette Massey | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650 | 2014-08-21 |
| 1790058709 | Amber N Tilley | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650 | 2012-02-22 |
| 1720096027 | Boston Mountain Rural Health Center Inc | Clinic/Center | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124254255 | Keshia Grinder | Counselor | 316 Hwy 65 N, Marshall, AR 72650 | 2009-06-03 |
| 1629214150 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 200 E Main Street, Marshall, AR 72650 | 2009-01-06 |
| 1649466178 | Andrea Lea Mccallister | Occupational Therapist | 201 West College St, Searay County School District, Marshall, AR 72650 | 2007-09-18 |
| 1841405040 | Highland Court, LLC | Skilled Nursing Facility | 100 South Cedar St, Marshall, AR 72650 | 2007-05-11 |
| 1770701690 | Carylene Gentry | Optometrist | 303 E. Main St., Marshall, AR 72650 | 2007-04-23 |
| 1790815827 | Jeri A White | Registered Nurse | 316 Hwy 65 North, Marshall, AR 72650 | 2007-03-07 |
| 1992848493 | Marshall Medic Pharmacy, Inc. | Pharmacy | 243 Hwy 65 North, Marshall, AR 72650 | 2007-02-14 |
| 1912057118 | Marshall Family Eyecare | Optometrist | 303 E. Main, Marshall, AR 72650 | 2007-01-11 |
| 1609947068 | Michael Baker Pharmacy, Inc. | Pharmacy | 101 W. Main St., Marshall, AR 72650 | 2006-11-10 |
| 1679658637 | White River Health System | Skilled Nursing Facility | 100 South Cedar, Marshall, AR 72650 | 2006-10-26 |
| Find all providers in zip 72650 | ||||
| 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 |
|---|---|---|---|---|
| 1760950737 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 1602 Il Hwy 1, Marshall, IL 62441 | 2018-11-08 |
| 1336525666 | Idriss Ibrahim | Family Medicine | 309 E College Dr, Marshall, MN 56258-2379 | 2015-08-10 |
| 1417362039 | Melissa Kay Gates | Family Medicine | 1174 W Michigan Ave Ste A, Marshall, MI 49068-1625 | 2014-06-23 |
| 1114362902 | Charity U Eko | Family Medicine | 815 S Washington Ave Ste 303, Marshall, TX 75670-5358 | 2013-05-07 |
| 1033457429 | Richard Raynor | Family Medicine | 2105 E Watermill Rd, Marshall, MO 65340-4684 | 2013-01-21 |
| 1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
| 1669619441 | Mark D Richardson Md PC | Family Medicine | 215 E Mansion St Ste 1e, Marshall, MI 49068-1167 | 2009-01-15 |
| 1134307663 | Philip Rutherford Glotfelty IIi | Family Medicine | 635 N Linden St, Marshall, MI 49068-1054 | 2008-02-06 |
| 1104011295 | Mid-missouri Family Health, LLC | Family Medicine | 78 S. Jefferson, Marshall, MO 65340 | 2007-09-11 |
| 1790983609 | Jamie Lynn Longhurst | Family Medicine | 215 E Mansion St Ste 2a, Marshall, MI 49068 | 2007-07-03 |
| Find all providers in MARSHALL | ||||
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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.