PHYSICIAN'S MANAGEMENT GROUP (NPI# 1871756437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871756437 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN'S MANAGEMENT GROUP |
| Practice Address |
2520 W Main St Jacksonville AR 72076-4214 |
| Mailing Address |
501 N Elm St Little Rock AR 72205-3927 |
| Practice Telephone | 5019820528 |
| Practice Fax Number | 5019857777 |
| Mailing Telephone | 5016634204 |
| Mailing Fax Number | 5016634233 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | DR. ROBERT FARRELL (CEO) |
| Authorized Official Telephone | 5016634204 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
C5129 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902939598 | Physician's Management Group | Psychologist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2007-03-13 |
| Street Address |
2520 W MAIN ST |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326004466 | Pathfinder, Inc. | Day Training, Developmentally Disabled Services | 2520 W Main St, Jacksonville, AR 72076-4214 | 2006-04-26 |
| 1881241537 | Jennifer Dena Lovell | Social Worker | 2520 W Main St, Jacksonville, AR 72076-4214 | 2019-08-19 |
| 1134774664 | Alexandria Noelle Fuchsberger | Social Worker | 2520 W Main St, Jacksonville, AR 72076-4214 | 2019-08-01 |
| 1316412257 | Susan L Warren | Social Worker | 2520 W Main St, Jacksonville, AR 72076-4214 | 2018-10-08 |
| 1639431828 | Morgan Evatt | Speech-Language Pathologist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2012-06-13 |
| 1942584750 | Lindsey Mcdaniel | Speech-Language Pathologist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2011-09-29 |
| 1487942397 | Mary Lu Fowler | Speech-Language Pathologist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2011-07-12 |
| 1588952675 | Ellen Smith | Speech-Language Pathologist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2011-07-11 |
| 1104060847 | Joelle Schahfer | Occupational Therapist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2009-04-24 |
| 1336397520 | Pathfinder, Inc. | Occupational Therapist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557630 | Nicole Felicia Felton | Psychologist | 9267 Canary Ivy Ln, Jacksonville, FL 32219-6001 | 2020-08-01 |
| 1013572304 | Alf 8860 Adrd Training Provider LLC. | Psychologist | 7990 Baymeadows Rd E Unit 1001, Jacksonville, FL 32256-2977 | 2019-05-02 |
| 1265811855 | Nyoka Mann | Psychologist | 6999 Merrill Rd Ste 2, #326, Jacksonville, FL 32277-2690 | 2015-05-28 |
| 1053740902 | Zamekio Jackson | Psychologist | 103 Century 21 Dr, Jacksonville, FL 32216-8116 | 2013-11-01 |
| 1083889224 | Heather Renee Griffin | Psychologist | 2980 Hartley Road West, Suite 2, Jacksonville, FL 32257 | 2008-04-29 |
| 1699743351 | Paul Eugene Napier | Psychologist | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2006-03-09 |
| 1821092677 | Anderson Cherokee Community Enrichment Services | Psychologist | 913 N Jackson St, Jacksonville, TX 75766-3801 | 2005-06-09 |
| 1801249768 | Alyssa Morgan Sedghi-khoi | Psychologist | 6817 Southpoint Pkwy, Ste 1501, Jacksonville, FL 32216-6282 | 2016-07-15 |
| 1154325645 | Anderson Cherokee Community Enrichment Services | Psychologist | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588978886 | Nina M. Mcintyre | Psychologist | 3208 Foxcroft Rd., Little Rock, AR 72227 | 2010-07-29 |
| 1811193089 | Wendy Lynch | Psychologist | 704 Martin Ln, Bryant, AR 72022-3796 | 2007-06-25 |
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on PHYSICIAN'S MANAGEMENT GROUP.
| 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.