Keith A Coward (NPI# 1710982871, PAC ID# 2668430737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1710982871 |
| PAC ID by PECOS | 2668430737 |
| Professional Enrollment ID | I20041221000960 |
| Full Name | Keith A Coward |
| Organization Legal Name | OZARK MEDICAL CLINIC LLC |
| Address |
383 Dave Creek Pwky Fairfield Bay Fairfield Bay AR 72088-3631 |
| Phone Number | 5018846900 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2769559848 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| 041313 | OZARK HEALTH |
| 041310 | STONE COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2526 Hwy 65 S, Suite 202, Clinton, AR 72031-6678 | 5017456100107 | CONWAY REGIONAL MEDICAL CENTER INC |
| 383 Dave Creek Pwky, Fairfield Bay, Fairfield Bay, AR 72088-3631 | 5018846900 | OZARK MEDICAL CLINIC LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 60% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 6% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 85% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 19% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 49% |
| Organization Legal Name | OZARK MEDICAL CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanna L Shockley | Nurse Practitioner | Ozark Medical Clinic LLC | 383 Dave Creek Pwky, Fairfield Bay, Fairfield Bay, AR 72088-3631 |
| Street Address |
383 DAVE CREEK PWKY FAIRFIELD BAY |
| City | FAIRFIELD BAY |
| State | AR |
| Zip | 72088-3631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanna L Shockley | Nurse Practitioner | Ozark Medical Clinic LLC | 383 Dave Creek Pwky, Fairfield Bay, Fairfield Bay, AR 72088-3631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Hudspeth | Occupational Therapy | Therapy Zone Incorporated | 265 Dave Creek Pkwy, Fairfield Bay, AR 72088-3106 |
| Sandra C Blount | Occupational Therapy | Therapy Zone Incorporated | 265 Dave Creek Pkwy, Fairfield Bay, AR 72088-3106 |
| City | FAIRFIELD BAY |
| Zip Code | 72088 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FAIRFIELD BAY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Keith A Coward.
| 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.