Matthew P Jackson (NPI# 1083689855, PAC ID# 2860479599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083689855 |
| PAC ID by PECOS | 2860479599 |
| Professional Enrollment ID | I20110504000795 |
| Full Name | Matthew P Jackson |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Address |
1500 Mclain St Newport AR 72112-3638 |
| Phone Number | 8705239337 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961547526 |
| Number of Group Practice Members | 223 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040014 | WHITE COUNTY MEDICAL CENTER |
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| 040119 | WHITE RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 51 Choctaw Trce, Cherokee Village, AR 72529-2702 | 8708562862 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| 1111 Windover Rd, Nea Baptist Clinic Windover, Jonesboro, AR 72401-6159 | 8709355432 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| 3003 Apache Dr, Jonesboro, AR 72401-7432 | 8709318800 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| 1500 Mclain St, Newport, AR 72112-3638 | 8705239337 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent A Davis | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 516 Industrial Park Dr, Trumann, AR 72472-9602 |
| Zuag Yang | Physician Assistant | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1111 Windover Rd, Nea Baptist Clinic Windover, Jonesboro, AR 72401-6159 |
| Ana Milosevic Michunovich | Physical Medicine and Rehabilitation | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Kimberly M Crosskno | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 616 W Keiser Ave, Nea Baptist Clinic Osceola, Osceola, AR 72370-3504 |
| Neal E Tice | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 909 Enterprise Dr, Nea Baptist Clinic, Jonesboro, AR 72401-9201 |
| Steven D Vanderbilt | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 2205 W Parker Rd, Nea Baptist Clinic Woodsprings, Jonesboro, AR 72404-7778 |
| Natalie N Martin | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 102 W Smith, Nea Baptist Clinic Brookland, Brookland, AR 72417-0248 |
| Jennifer L Crisp | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 |
| Garrett T Wray | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4700 W Kingshighway, Nea Baptist Clinic Paragould, Paragould, AR 72450-3465 |
| Meghan Lindsay Lyerly | Family Medicine | Northeast Arkansas Clinic Charitable Foundation, Inc. | 8170 Hwy 49 N, Brookland, AR 72417-8992 |
| Street Address |
1500 MCLAIN ST |
| City | NEWPORT |
| State | AR |
| Zip | 72112-3638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Haustein | Cardiovascular Disease (cardiology) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1500 Mclain St, Newport, AR 72112-3638 |
| Eric J Tiner | Diagnostic Radiology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1500 Mclain St, Newport, AR 72112-3638 |
| Jennifer L Dorris | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1500 Mclain St, Newport, AR 72112-3638 |
| John Gregory Stanfill | Diagnostic Radiology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1500 Mclain St, Newport, AR 72112-3638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Butler | Chiropractic | Wynne Chiropractic Clinic, Inc. | 2301 Hwy 367 N, Butler Chiropractic Clinic, Newport, AR 72112 |
| Becky J Rush | Physical Therapy | Newport Advanced Physical Therapy, Inc. | 801 Malcolm Ave, Newport, AR 72112-3409 |
| Lori Owens | Physical Therapy | Newport Advanced Physical Therapy, Inc. | 801 Malcolm Ave, Newport, AR 72112-3409 |
| Alyson D Edwards | Occupational Therapy | Gross Therapy Services Inc | 801 Malcolm Ave, Newport, AR 72112-3409 |
| Frank Love Jr. | Optometry | 915 Malcolm Ave, Newport, AR 72112-3501 | |
| Rhonda E Whybrew | Chiropractic | 1122 Malcolm Ave, Newport, AR 72112-3506 | |
| Mufiz Chauhan | Diagnostic Radiology | 1205 Mclain St, Newport, AR 72112-3533 | |
| Ian Chase Parker | Family Medicine | White County Medical Center | 1200 Mclain St, Newport, AR 72112-3534 |
| John C Henderson | Cardiovascular Disease (cardiology) | White County Medical Center | 1200 Mclain St, Newport, AR 72112-3534 |
| Kyle R Blickenstaff | Orthopedic Surgery | White County Medical Center | 1200 Mclain St, Newport, AR 72112-3534 |
| Find all physicians in zip 72112 | |||
| City | NEWPORT |
| Zip Code | 72112 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEWPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Matthew P Jackson.
| 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.