Carolyn M Dillard


Address: 109 W Pointer Trail, Van Buren, AR 72956-2236

Carolyn M Dillard (NPI# 1396790721, PAC ID# 0345227807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1396790721
PAC ID by PECOS 0345227807
Professional Enrollment ID I20040701001375
Full Name Carolyn M Dillard
Address 109 W Pointer Trail
Van Buren
AR 72956-2236
Gender F
Credential DO
Medical School OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY
Graduation Year 1997
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040055 SPARKS REGIONAL MEDICAL CENTER
040018 SPARKS MEDICAL CENTER VAN BUREN
040062 MERCY HOSPITAL FORT SMITH

Other Locations

Address Phone Organization
109 W Pointer Trail, Van Buren, AR 72956-2236

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_134_overall Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 100%

Organization Information

Office Location

Street Address 109 W POINTER TRAIL
City VAN BUREN
State AR
Zip 72956-2236

Physicians in the same zip code

Name Specialty Organization Address
John T Mccormick Physician Assistant E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956
Palak J Patel Physician Assistant Storm-petrel Inpatient Services LLC E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956
Jennifer Tetirick Nurse Practitioner Storm-petrel Inpatient Services LLC E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956
Kevin Doolittle Physical Therapy 115 Pointer W Trl B, Van Buren, AR 72956-2236
Linda Blasingame Nurse Practitioner Baptist Health Services 209 Pointer Trl W A, Baptist Health Family and Pediatric, Van Buren, AR 72956-2238
Kelly Leigh Graham Optometry 113 N Plaza Ct, Van Buren, AR 72956-2269
Cameron Mitchell Chiropractic 520 E Pointer Trl, B, Van Buren, AR 72956-2304
Lance G Clouse Nurse Practitioner 623 Fayetteville Rd, Van Buren, AR 72956-3418
Joseph F Followell Optometry 825 Fayetteville Rd, Van Buren, AR 72956-3422
George H Tompkins Family Medicine 400 Fayetteville Rd, Van Buren, AR 72956-3446
Find all physicians in zip 72956

Competitor

Search similar physicians

City VAN BUREN
Zip Code 72956
Specialty FAMILY MEDICINE
City + Specialty VAN BUREN + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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