Tracy T Phillips (NPI# 1679571863, PAC ID# 2163555319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679571863 |
| PAC ID by PECOS | 2163555319 |
| Professional Enrollment ID | I20100809000688 |
| Full Name | Tracy T Phillips |
| Address |
103 Frankie Ln White Hall AR 71602-2685 |
| Phone Number | 5013972604 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040041 | ST MARYS REGIONAL MEDICAL CENTER |
| 040071 | JEFFERSON REGIONAL MEDICAL CENTER |
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 1808 W Main St, Russellville, AR 72801-2724 | 4799682841 | ST MARYS PHYSICIAN SERVICES LLC |
| 1808 W Main St, St Mary Reg Med Ctr, Russellville, AR 72801-2724 | 4799682841 | ARKANSAS EMERGENCY PHYSICIAN ASSOCIATES PA |
| 103 Frankie Ln, White Hall, AR 71602-2685 | 5013972604 |
| Street Address |
103 FRANKIE LN |
| City | WHITE HALL |
| State | AR |
| Zip | 71602-2685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raluca Tudoreanu | Nurse Practitioner | Advanced Sleep and Pulmonary Center Pllc | 103 Frankie Ln, White Hall, AR 71602-2685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghulam M Khaleel | Neurology | 105 Frankie Ln, White Hall, AR 71602-2685 | |
| Scott K Gray | Podiatry | 8604 Dollarway Rd, White Hall, AR 71602-2814 | |
| Raymond Floyd Jones | Optometry | 8025 Dollarway Rd, White Hall, AR 71602-2855 | |
| Meraj Siddiqui | Pain Management | Pain Treatment Centers of America Pllc | 8608 Dollarway Rd, Suite B, White Hall, AR 71602-2867 |
| Timothee T Wilkin | Family Medicine | 8608 Dollarway Rd C, White Hall, AR 71602-2867 | |
| Kayla Beth Ingram-smith | Nurse Practitioner | Pain Treatment Centers of America Pllc | 8608 Dollarway Rd, Suite B, White Hall, AR 71602-2867 |
| Michael C Tucker | Chiropractic | 7721 Dollarway Rd, Suite 1, White Hall, AR 71602-3040 | |
| Paul W Davis | Family Medicine | 7400 Dollarway Rd A, White Hall, AR 71602-3067 | |
| Stephen Lloyd Stewart | Physician Assistant | Paul W Davis Md Pa | 7400 Dollarway Rd A, White Hall, AR 71602-3067 |
| Stuart A Jones | Physical Therapy | Physical Therapy Plus Inc | 7500 Dollarway Rd, Suite 107, White Hall, AR 71602-3082 |
| Find all physicians in zip 71602 | |||
| City | WHITE HALL |
| Zip Code | 71602 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WHITE HALL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tracy T Phillips.
| 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.