Prasad J Athota (NPI# 1952319477, PAC ID# 2466470083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952319477 |
| PAC ID by PECOS | 2466470083 |
| Professional Enrollment ID | I20051102000788 |
| Full Name | Prasad J Athota |
| Organization Legal Name | ARCARE |
| Address |
615 N Main Arcare 70 Brinkley AR 72021-2507 |
| Phone Number | 8707341153 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1967 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567370620 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040019 | FORREST CITY MEDICAL CENTER |
| 040072 | BAPTIST HEALTH MEDICAL CENTER-STUTTGART |
| Address | Phone | Organization |
|---|---|---|
| 615 N Main, Arcare 70, Brinkley, AR 72021-2507 | 8707341153 | ARCARE |
| Organization Legal Name | ARCARE |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Jo Teague | Family Medicine | Arcare | 353 Hwy 15 N, Mississippicare 113, Pontotoc, MS 38863-1103 |
| Elisha J Hall | Nurse Practitioner | Arcare | 125 S 20th St, Paducah, KY 42001-7100 |
| Rebecca Jane O'shields | Nurse Practitioner | Arcare | 908 Edmonds Ave, Mc Crory, AR 72101-8073 |
| Broderick G Eaton | Family Medicine | Arcare | 601 Julia E Ave, Wynne, AR 72396-3506 |
| Ottysha Hadley | Nurse Practitioner | Arcare | 606 Wilbur D Mills N, Arcare 80, Kensett, AR 72082-9051 |
| Elizabeth Reinhard | Nurse Practitioner | Arcare | 5830 Hwy 5, Cabot, AR 72023-7328 |
| Jarrett Elaine Sherrill | Nurse Practitioner | Arcare | 1310 N Ctr St, Arcare 47, Lonoke, AR 72086-2011 |
| Renata Vaughn | Nurse Practitioner | Arcare | 623 N 9th St, Augusta, AR 72006-2129 |
| Amanda A Deel | Family Medicine | Arcare | 416 E Washington Ave, Jonesboro, AR 72401-3108 |
| Emily Jones | Nurse Practitioner | Arcare | 75 E Court St, Bardwell, KY 72023-8483 |
| Street Address |
615 N MAIN ARCARE 70 |
| City | BRINKLEY |
| State | AR |
| Zip | 72021-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Manatt | Nurse Practitioner | Arcare | 615 N Main, Arcare 70, Brinkley, AR 72021-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry K Armstrong | Nurse Practitioner | Northeast Arkansas Community Mental Health Center Inc | 490 Broadmoor Dr, Brinkley, AR 72021-2057 |
| Johnathan C Simpson | Clinical Social Worker | Northeast Arkansas Community Mental Health Center Inc | 490 Broadmoor Dr, Brinkley, AR 72021-2057 |
| Jerry E Fenter | Physical Therapy | Fenter Physical Therapy LLC | 1100 N Main, Brinkley, AR 72021-2120 |
| Michael D Sayger | Physical Therapy | Fenter Physical Therapy LLC | 1100 N Main, Brinkley, AR 72021-2120 |
| William H Huffman | Physical Therapy | Fenter Physical Therapy LLC | 1100 N Main, Brinkley, AR 72021-2120 |
| Jonathan Simmons | Optometry | 310 W Cedar, Brinkley, AR 72021-2710 | |
| Dac Pham | Family Medicine | 208 S Main Ave, Brinkley, AR 72021-3210 |
| City | BRINKLEY |
| Zip Code | 72021 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRINKLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Prasad J Athota.
| 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.