Kevin T Jackson (NPI# 1144291907, PAC ID# 4183636921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144291907 |
| PAC ID by PECOS | 4183636921 |
| Professional Enrollment ID | I20060620000066 |
| Full Name | Kevin T Jackson |
| Organization Legal Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Address |
1420 Hwy 62 65 N Crossroads Medical Clinic Harrison AR 72601-1959 |
| Phone Number | 8707413600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8820995434 |
| Number of Group Practice Members | 179 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040017 | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
| 260094 | COX MEDICAL CENTER BRANSON |
| Address | Phone | Organization |
|---|---|---|
| 1420 Hwy 62 65 N, Crossroads Medical Clinic, Harrison, AR 72601-1959 | 8707413600 | WASHINGTON REGIONAL MEDICAL SYSTEM |
| 813 Founders Park Dr E, Suite 101, Springdale, AR 72762-6321 | 4794632333 | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Organization Legal Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie A Bules | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 813 Founders Park Dr E, Suite 101, Springdale, AR 72762-6321 |
| Jennifer S Cheatham | Family Medicine | Washington Regional Medical System | 106 E Park St, West Washington County Clinic Washington Regional, Lincoln, AR 72744-8706 |
| Brittany L Huls | Nurse Practitioner | Washington Regional Medical System | 3215 N Northhills Blvd, Washington Regional Hospital Medicine Group, Fayetteville, AR 72703-4424 |
| Garney H Fendley | Diagnostic Radiology | Washington Regional Medical System | 3215 N Hills Blvd, Fayetteville, AR 72703-4424 |
| Fredrik Balldin | Diagnostic Radiology | Washington Regional Medical System | 3 E Appleby Rd, Suite 103, Fayetteville, AR 72703-3156 |
| Jay P Hinkle | Neurology | Washington Regional Medical System | 3336 N Futrall Dr, Nw Arkansas Neuroscience Institute, Fayetteville, AR 72703-4057 |
| William M Rogers | Family Medicine | Washington Regional Medical System | 513 N Shiloh St, Shiloh Clinic Washington Regional, Springdale, AR 72764-3343 |
| Karen B Newton | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 82 W Sunbridge Dr, Washington Regional Endocrinology, Fayetteville, AR 72703-1822 |
| Rebecca Mcanulty | Nurse Practitioner | Washington Regional Medical System | 702 N Spring St, Harrison, AR 72602 |
| Kristen K Davidson | Nurse Practitioner | Washington Regional Medical System | 813 Founders Park Dr, Suite 202, Springdale, AR 72762-8334 |
| Street Address |
1420 HWY 62 65 N CROSSROADS MEDICAL CLINIC |
| City | HARRISON |
| State | AR |
| Zip | 72601-1959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Winford | Nurse Practitioner | Washington Regional Medical System | 1420 Hwy 62 65 N, Crossroads Medical Clinic, Harrison, AR 72601-1959 |
| Mark W Powell | Orthopedic Surgery | Advanced Orthopaedic Specialists, Plc | 1420 Hwy 62 65 N, Suite A, Harrison, AR 72601-1959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis S Butler | Nurse Practitioner | 3319 Day Lily Lane, Harrison, AR 72601 | |
| Michael V Marvel | Chiropractic | 1428 H-2 Hwy 62 65 N, Harrison, AR 72601 | |
| Shaun J Kahn | Chiropractic | 1428 H-2 Hwy 62-65 N, Harrison, AR 72601-1959 | |
| Joshua David Linton | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Christopher Allen Carroll | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Hannah Elizabeth Bohl | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Lindsey Breanne Wade | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Joni Michelle Chy | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Paul T Astillero | Physical Therapy | Mount Carmel Physical Therapy Center, Pllc | 197 S Walmart Dr, Harrison, AR 72601-1984 |
| Theodore P Borchers | Occupational Therapy | Mount Carmel Physical Therapy Center, Pllc | 197 S Walmart Dr, Harrison, AR 72601-1984 |
| Find all physicians in zip 72601 | |||
| City | HARRISON |
| Zip Code | 72601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HARRISON + FAMILY MEDICINE |
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| 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.