Jacqueline S Taylor Odonald (NPI# 1275514929, PAC ID# 2668442047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1275514929 |
| PAC ID by PECOS | 2668442047 |
| Professional Enrollment ID | I20040731000242 |
| Full Name | Jacqueline S Taylor Odonald |
| Organization Legal Name | COLLOM AND CARNEY CLINIC |
| Address |
1000 Pine St Texarkana TX 75501-5100 |
| Phone Number | 9037988000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355249541 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450801 | CHRISTUS ST MICHAEL HEALTH SYSTEM |
| 040153 | WADLEY REGIONAL MEDICAL CENTER AT HOPE |
| 450200 | WADLEY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Pine St, Texarkana, TX 75501-5100 | 9037988000 | COLLOM AND CARNEY CLINIC |
| 2400 Saint Michael Dr, Texarkana, TX 75503-2374 | 9036144000 | COLLOM AND CARNEY CLINIC |
| 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | COLLOM AND CARNEY CLINIC |
| Organization Legal Name | COLLOM AND CARNEY CLINIC |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Jackson | Nurse Practitioner | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Kimberly A Pinkham | Nurse Practitioner | Collom and Carney Clinic | 1440 W 1st, Prescott, AR 71857-3310 |
| Sara L Miers | Nurse Practitioner | Collom and Carney Clinic | 815 N King Hwy, Texarkana, TX 75501-5700 |
| John Owen Stevens | Nephrology | Collom and Carney Clinic | 816 E St, Texarkana, AR 71854-6808 |
| Nancy V Graves | Psychiatry | Collom and Carney Clinic | 1902 Galleria Oaks Dr, Texarkana, TX 75503-4619 |
| Blane Graves | Family Medicine | Collom and Carney Clinic | 1408 College Dr, Texarkana, TX 75503-3534 |
| Joseph Sean Womack | Urology | Collom and Carney Clinic | 1902 Moores Ln, Texarkana, TX 75503-4610 |
| Eugene Ellison | Ophthalmology | Collom and Carney Clinic | 5402 Summerhill Rd, Texarkana, TX 75503-4607 |
| Paul Sarna | Family Medicine | Collom and Carney Clinic | 2931 Richmond Rd, Texarkana, TX 75503-2125 |
| Wilmer L Reep | General Practice | Collom and Carney Clinic | 2014 Galleria Oaks Dr, Texarkana, TX 75503-4620 |
| Street Address |
1000 PINE ST |
| City | TEXARKANA |
| State | TX |
| Zip | 75501-5100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Sutherland | General Surgery | Mark E Sutherland M.d.,p.a | 1000 Pine St, Texarkana, TX 75501-5100 |
| Nancy Asamoa | Internal Medicine | Collom and Carney Clinic | 1000 Pine St, Texarkana, TX 75501-5100 |
| Jack E Menges Jr. | Family Medicine | Texarkana Emergency Physicians Pllc | 1000 Pine St, Texarkana, TX 75501-5100 |
| Eric Matthew Sass | Internal Medicine | Texarkana Emergency Physicians Pllc | 1000 Pine St, Texarkana, TX 75501-5100 |
| William R Bowling | Physician Assistant | Collom and Carney Clinic | 1000 Pine St, Texarkana, TX 75501-5100 |
| Justin James Parrott | Psychiatry | Collom and Carney Clinic | 1000 Pine St, Texarkana, TX 75501-5100 |
| Farahnaz Haroon | Hospitalist | Collom and Carney Clinic | 1000 Pine St, Texarkana, TX 75501-5100 |
| Brandi M Martin | Nurse Practitioner | Collom and Carney Clinic | 1000 Pine St, Texarkana, TX 75501-5100 |
| Cristi Hicks | Nurse Practitioner | Texarkana Emergency Physicians Pllc | 1000 Pine St, Texarkana, TX 75501-5100 |
| Charles N Thornton | Ophthalmology | Collom and Carney Clinic | 1000 Pine St, Texarkana, TX 75501-5100 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Michelle Ross | Nurse Practitioner | First Choice Urgent Care Clinic LLC | 3725 Mall Ln, Texarkana, TX 75501-2658 |
| Johnathan D Steele | Physician Assistant | First Choice Urgent Care Clinic LLC | 3725 Mall Ln, Texarkana, TX 75501-2658 |
| Christina Marie Aaron | Nurse Practitioner | First Choice Urgent Care Clinic LLC | 3725 Mall Ln, Texarkana, TX 75501-2658 |
| Jason D Mccandless | Physician Assistant | First Choice Urgent Care Clinic LLC | 3725 Mall Ln, Texarkana, TX 75501-2658 |
| Mark W Mccrary | Emergency Medicine | First Choice Urgent Care Clinic LLC | 3725 Mall Ln, Texarkana, TX 75501-2658 |
| Tonya L Dubois | Physician Assistant | First Choice Urgent Care Clinic LLC | 3725 Mall Ln, Texarkana, TX 75501-2658 |
| Frank S Murphy | Psychiatry | Sabine Valley Regional Mhmr Center | 2435 College Dr, Texarkana, TX 75501-2788 |
| Kimberly Scott | Nurse Practitioner | Christus Health Ark-la-tex | 210 N Kenwood Rd, The Retreat At Kenwood, Texarkana, TX 75501-2928 |
| Chris R Bookout | Chiropractic | 703 W 12th St, Bookout Chiropractic, Texarkana, TX 75501-4352 | |
| Sara E Mcrorey | Physician Assistant | Collom and Carney Clinic | 1000 Pine St, Texarkana, TX 75501-5100 |
| Find all physicians in zip 75501 | |||
| City | TEXARKANA |
| Zip Code | 75501 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TEXARKANA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jacqueline S Taylor Odonald.
| 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.