Charles D Mabry (NPI# 1225026875, PAC ID# 4284781139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1225026875 |
| PAC ID by PECOS | 4284781139 |
| Professional Enrollment ID | I20090512000486 |
| Full Name | Charles D Mabry |
| Organization Legal Name | JEFFERSON HOSPITAL ASSOCIATION INC |
| Address |
1601 W 40th Ave 301 Pine Bluff Specialty Clinic Pine Bluff AR 71603-6346 |
| Phone Number | 8705414280 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | THORACIC SURGERY, VASCULAR SURGERY |
| Group Practice PAC ID | 8123927431 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040071 | JEFFERSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1601 W 40th Ave, 301 Pine Bluff Specialty Clinic, Pine Bluff, AR 71603-6346 | 8705414280 | JEFFERSON HOSPITAL ASSOCIATION INC |
| Organization Legal Name | JEFFERSON HOSPITAL ASSOCIATION INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brock Harrison Wrinkles | Physician Assistant | Jefferson Hospital Association Inc | 1609 W 40th Avenue, 501 Neurosurgery Associates of South Arkansas, Pine Bluff, AR 71603-6364 |
| Tochi M Amagwula | Obstetrics/gynecology | Jefferson Hospital Association Inc | 1801 W 40th St, Suite 1a, Pine Bluff, AR 71603-6956 |
| James Clyde Campbell Jr. | Pulmonary Disease | Jefferson Hospital Association Inc | 1601 W 40th Ave, 301 Pine Bluff Specialty Clinic, Pine Bluff, AR 71603-6346 |
| Amanda C Lem | Nurse Practitioner | Jefferson Hospital Association Inc | 1609 W 40th Ave, Suite 402, Pine Bluff, AR 71603-6365 |
| Street Address |
1601 W 40TH AVE 301 PINE BLUFF SPECIALTY CLINIC |
| City | PINE BLUFF |
| State | AR |
| Zip | 71603-6346 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toni Middleton | General Practice | University of Arkansas for Medical Sciences | 1601 W 40th Ave, Pine Bluff, AR 71603-6319 |
| Yathreb A Alaali | Pulmonary Disease | Jefferson Hospital Association, Inc. | 1601 W 40th Ave, 301 Pine Bluff Specialty Clinic, Pine Bluff, AR 71603-6346 |
| Jason B Cobb | General Practice | University of Arkansas for Medical Sciences | 1601 W 40th Ave, Pine Bluff, AR 71603-6319 |
| Michelle W Eckert | General Surgery | Jefferson Hospital Association, Inc. | 1601 W 40th Ave, 301 Pine Bluff Specialty Clinic, Pine Bluff, AR 71603-6346 |
| Ayman A Alshami | Cardiovascular Disease (cardiology) | Jefferson Hospital Association, Inc. | 1601 W 40th Ave, 301 Cardiology Associates, Pine Bluff, AR 71603-6319 |
| Keith Gage Bennett | General Practice | University of Arkansas for Medical Sciences | 1601 W 40th Ave, Pine Bluff, AR 71603-6319 |
| Lee A Forestiere | General Surgery | Jefferson Hospital Association, Inc. | 1601 W 40th Ave, 301 Pine Bluff Specialty Clinic, Pine Bluff, AR 71603-6346 |
| Lee Richard Morisy | General Surgery | Jefferson Hospital Association, Inc. | 1601 W 40th Ave, 301 Pine Bluff Specialty Clinic, Pine Bluff, AR 71603-6346 |
| Herbert Farrell Fendley | Family Medicine | University of Arkansas for Medical Sciences | 1601 W 40th Ave, Pine Bluff, AR 71603-6319 |
| Steven Wright | Nephrology | University of Arkansas for Medical Sciences | 1601 W 40th Ave, Pine Bluff, AR 71603-6319 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo E Lim | Diagnostic Radiology | Pine Bluff Radiologists, Ltd | 1801 W 40th St, Pine Bluff, AR 71603 |
| Syed A Samad | Gastroenterology | Digestive Care P A | 4800 Hazel St, Pine Bluff, AR 71603-2797 |
| Cyrus Tamboli | Gastroenterology | Digestive Care P A | 4800 Hazel St, Pine Bluff, AR 71603-2797 |
| Denise Jarrett | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Bessie Lancelin | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Abeer Washington | Psychiatry | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Diane C. Boyd | Nurse Practitioner | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Joyce A Walker | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Terrell P Bishop | Psychiatry | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Cynthia G Slaughter | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Find all physicians in zip 71603 | |||
| City | PINE BLUFF |
| Zip Code | 71603 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PINE BLUFF + GENERAL SURGERY |
Please comment or provide details below to improve the information on Charles D Mabry.
| 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.