Travis D Embry (NPI# 1750386876, PAC ID# 1153310412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750386876 |
| PAC ID by PECOS | 1153310412 |
| Professional Enrollment ID | I20040511000856 |
| Full Name | Travis D Embry |
| Organization Legal Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Address |
934 N Gaskill St Huntsville AR 72740-8903 |
| Phone Number | 4797385500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870401722 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040004 | WASHINGTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1125 N College Ave, Fayetteville, AR 72703-1908 | 4795218260 | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| 934 N Gaskill St, Huntsville, AR 72740-8903 | 4797385500 | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 100% | |
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 100% |
| Organization Legal Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Elizabeth Tester | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 |
| Tessa M Sparks | Nurse Practitioner | Boston Mountain Rural Health Center Inc | Hc 31 Box, Suite 310, Deer, AR 72628-2628 |
| Haleigh Trotter | Clinical Social Worker | Boston Mountain Rural Health Center Inc | 465 Medical Ctr Pkwy, Clinton, AR 72031-2031 |
| Neil Langer | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 2263 Hwy 65 N, Marshall, AR 72650 |
| Abigail A Peerce | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 358 E Valley St, Yellville, AR 72687-2687 |
| Mandi K Strode | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Lauren Faulkner | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 326 Southside Rd, Bee Branch, AR 72013-9137 |
| Rebecca Simon | Family Medicine | Boston Mountain Rural Health Center Inc | 1002 N Spring St, Harrison, AR 72601-2918 |
| Danny Lynn Proffitt | Family Medicine | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Jacky F Dunn | General Practice | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Street Address |
934 N GASKILL ST |
| City | HUNTSVILLE |
| State | AR |
| Zip | 72740-8903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny Lynn Proffitt | Family Medicine | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| John N Green | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Brianna C Pate | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Larry B Jennings | Family Medicine | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Greta S Jean | Family Medicine | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Lilly Roberts | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Nicholas Piediscalzi | General Practice | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom D Whiting | General Practice | 705 Phillips Pl, Huntsville, AR 72740-6266 | |
| Thomas L Embry | Family Medicine | 705 Phillips Pl, Huntsville, AR 72740-6266 | |
| Clyde M Norris | Chiropractic | 510 S Harris St, Huntsville, AR 72740-8946 | |
| Joseph H. Mcalister Jr. | Optometry | 945 N Gaskill, Huntsville, AR 72740-8966 | |
| Christa N Walters | Clinical Social Worker | Ozark Guidance Center, Inc | 1104 N College St, Huntsville, AR 72740-9672 |
| Jeannie M True-jenkins | Clinical Social Worker | Ozark Guidance Center, Inc | 1104 N College St, Huntsville, AR 72740-9672 |
| City | HUNTSVILLE |
| Zip Code | 72740 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HUNTSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Travis D Embry.
| 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.