Clarence Mark Whitehead Iii (NPI# 1326005406, PAC ID# 0345229787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1326005406 |
| PAC ID by PECOS | 0345229787 |
| Professional Enrollment ID | I20040719000462 |
| Full Name | Clarence Mark Whitehead Iii |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Address |
165 Beech Springs Rd Jonesboro LA 71251-2013 |
| Phone Number | 3182594435 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0446296818 |
| Number of Group Practice Members | 117 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191317 | JACKSON PARISH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 165 Beech Springs Rd, Jonesboro, LA 71251-2013 | 3182594435 | CONCORD MEDICAL GROUP PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Physicians | 212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Lamb | Emergency Medicine | Concord Medical Group Pllc | 110 Shult Dr, Columbus, TX 78934-3016 |
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Ilona Nekhayeva | Family Medicine | Concord Medical Group Pllc | 705 E Felt St, Brownfield, TX 79316-3449 |
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Stephanie K Denison | Emergency Medicine | Concord Medical Group Pllc | 304 S Daugherty Ave, Eastland, TX 76448-2609 |
| Stephen George | Family Practice | Concord Medical Group Pllc | 400 Southwest 25th Ave, Mineral Wells, TX 76067-8246 |
| Danny L Farley Jr. | Family Medicine | Concord Medical Group Pllc | 125 Newman St, Fairfield, TX 75840-1419 |
| Derrick E Randdolf | Family Medicine | Concord Medical Group Pllc | 305 N Mckinney St, Sweeny, TX 77480-2801 |
| Michael L Gaines | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Dawn M Simons | Nurse Practitioner | Concord Medical Group Pllc | 311 Green Ave, Palacios, TX 77465-3213 |
| Street Address |
165 BEECH SPRINGS RD |
| City | JONESBORO |
| State | LA |
| Zip | 71251-2013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewell D Bickham Iii | Emergency Medicine | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Olugbemi O Elegbe | Family Medicine | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| James A Hughes | Emergency Medicine | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Peter Chu | Family Medicine | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Dana B Williams | Nurse Practitioner | Jackson Parish Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Irina M Pechenko | Family Medicine | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Raghavarao Alla | Allergy/immunology | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Everett W Brown | Emergency Medicine | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Candice S Leach | Nurse Practitioner | Jackson Parish Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| William J Slusher | Family Medicine | Jackson Parish Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kushal C Agarwal | Internal Medicine | 510 Alexander St, Jonesboro, LA 71251-2002 | |
| Victor T Enoh | Anesthesiology | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Paula L Parkerson | Family Medicine | Jackson Parish Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Jacquelyn M Bowers | Emergency Medicine | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Homer Williams Jr. | Family Medicine | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Heather Smith Adams | Nurse Practitioner | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Craig A Cole | General Surgery | Concord Medical Group Pllc | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Bryan D Rosedale | Emergency Medicine | Jackson Parish Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Mark E Clawson | Family Practice | Jackson Parish Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 |
| Rebecca L Crouch | General Practice | 166 Beech Springs Rd, Jonesboro, LA 71251-2014 | |
| Find all physicians in zip 71251 | |||
| City | JONESBORO |
| Zip Code | 71251 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JONESBORO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Clarence Mark Whitehead Iii.
| 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.