Jerry H Grant (NPI# 1396714424, PAC ID# 1951328210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1396714424 |
| PAC ID by PECOS | 1951328210 |
| Professional Enrollment ID | I20110113000626 |
| Full Name | Jerry H Grant |
| Address |
1320 N Highland Ave El Dorado AR 71730-3929 |
| Phone Number | 8708622285 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040088 | MEDICAL CENTER OF SOUTH ARKANSAS |
| Address | Phone | Organization |
|---|---|---|
| 1320 N Highland Ave, El Dorado, AR 71730-3929 | 8708622285 |
| Street Address |
1320 N HIGHLAND AVE |
| City | EL DORADO |
| State | AR |
| Zip | 71730-3929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Watson Ii | Family Medicine | 3108 N W Ave, El Dorado, AR 71730-2731 | |
| Tanya M Golden | Nurse Practitioner | Family Care of Southern Arkansas, Ltd | 3108 N W Ave, El Dorado, AR 71730-2731 |
| Steven T Sowell | Optometry | 2730 N W Ave, El Dorado, AR 71730-3124 | |
| Anita M Burleson | Nurse Practitioner | 1000 N College Ave, El Dorado, AR 71730-3711 | |
| Christie F Skinner | Nurse Practitioner | 1000 N College Ave, El Dorado, AR 71730-3711 | |
| Diedra Hayman | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Terri A Rowe | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Richard L Sylvester | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Alyssa Dykes | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Merle D Wiseman | Family Medicine | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Find all physicians in zip 71730 | |||
| City | EL DORADO |
| Zip Code | 71730 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EL DORADO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jerry H Grant.
| 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.