Tommy G Taylor (NPI# 1831158302, PAC ID# 1254388481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1831158302 |
| PAC ID by PECOS | 1254388481 |
| Professional Enrollment ID | I20050331000300 |
| Full Name | Tommy G Taylor |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Address |
51 Choctaw Trce Cherokee Village AR 72529-2702 |
| Phone Number | 8708562862 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2961547526 |
| Number of Group Practice Members | 223 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040119 | WHITE RIVER MEDICAL CENTER |
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| 040027 | BAXTER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 51 Choctaw Trce, Cherokee Village, AR 72529-2702 | 8708562862 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent A Davis | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 516 Industrial Park Dr, Trumann, AR 72472-9602 |
| Zuag Yang | Physician Assistant | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1111 Windover Rd, Nea Baptist Clinic Windover, Jonesboro, AR 72401-6159 |
| Ana Milosevic Michunovich | Physical Medicine and Rehabilitation | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Kimberly M Crosskno | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 616 W Keiser Ave, Nea Baptist Clinic Osceola, Osceola, AR 72370-3504 |
| Neal E Tice | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 909 Enterprise Dr, Nea Baptist Clinic, Jonesboro, AR 72401-9201 |
| Steven D Vanderbilt | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 2205 W Parker Rd, Nea Baptist Clinic Woodsprings, Jonesboro, AR 72404-7778 |
| Natalie N Martin | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 102 W Smith, Nea Baptist Clinic Brookland, Brookland, AR 72417-0248 |
| Jennifer L Crisp | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 |
| Garrett T Wray | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4700 W Kingshighway, Nea Baptist Clinic Paragould, Paragould, AR 72450-3465 |
| Meghan Lindsay Lyerly | Family Medicine | Northeast Arkansas Clinic Charitable Foundation, Inc. | 8170 Hwy 49 N, Brookland, AR 72417-8992 |
| Street Address |
51 CHOCTAW TRCE |
| City | CHEROKEE VILLAGE |
| State | AR |
| Zip | 72529-2702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keren Levenbach | Clinical Social Worker | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | |
| Lauren Bloch | Family Medicine | White River Health System Inc | 195 Hospital Dr, Cherokee Village, AR 72529-7314 |
| Surinder P Sra | Internal Medicine | Internal Medicine Diagnostics Inc | 197 Hospital Dr, Suite B, Cherokee Village, AR 72529-7315 |
| Elizabeth M Kilgore | Optometry | Progressive Eye Center Inc | 197 Hospital Dr, Suite A, Cherokee Village, AR 72529-7315 |
| Kimberly Rae Carr | Nurse Practitioner | Internal Medicine Diagnostics Inc | 197 Hospital Dr, Suite B, Cherokee Village, AR 72529-7315 |
| Keely A Rogers | Physical Therapy | Therapy Works, Inc | 31 Choctaw Ctr, Cherokee Village, AR 72529-7430 |
| Bryan R Declerk | Physical Therapy | Therapy Works, Inc | 31 Choctaw Ctr, Cherokee Village, AR 72529-7430 |
| City | CHEROKEE VILLAGE |
| Zip Code | 72529 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHEROKEE VILLAGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tommy G Taylor.
| 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.