Willard G Burks (NPI# 1619082310, PAC ID# 4385644061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619082310 |
| PAC ID by PECOS | 4385644061 |
| Professional Enrollment ID | I20100826001214 |
| Full Name | Willard G Burks |
| Organization Legal Name | WYNNE MEDICAL CLINIC PA |
| Address |
710 S Falls Blvd Wynne AR 72396-0158 |
| Phone Number | 8702382321228 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1963 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9931109618 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041307 | CROSSRIDGE COMMUNITY HOSPITAL |
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 710 S Falls Blvd, Wynne, AR 72396-0158 | 8702382321228 | WYNNE MEDICAL CLINIC PA |
| Organization Legal Name | WYNNE MEDICAL CLINIC PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Donald Cathey | Family Medicine | Wynne Medical Clinic Pa | 710 S Falls Blvd, Wynne, AR 72396-0158 |
| Robert A Hayes Jr. | Family Medicine | Wynne Medical Clinic Pa | 710 S Falls Blvd, Wynne, AR 72396-0158 |
| Jeremiah Eugene Nugent | Family Medicine | Wynne Medical Clinic Pa | 710 S Falls Blvd, Wynne, AR 72396-0158 |
| James T Beaton | Family Medicine | Wynne Medical Clinic Pa | 710 S Falls Blvd, Wynne, AR 72396-0158 |
| Street Address |
710 S FALLS BLVD |
| City | WYNNE |
| State | AR |
| Zip | 72396-0158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Donald Cathey | Family Medicine | Wynne Medical Clinic Pa | 710 S Falls Blvd, Wynne, AR 72396-0158 |
| Robert A Hayes Jr. | Family Medicine | Wynne Medical Clinic Pa | 710 S Falls Blvd, Wynne, AR 72396-0158 |
| Jeremiah Eugene Nugent | Family Medicine | Wynne Medical Clinic Pa | 710 S Falls Blvd, Wynne, AR 72396-0158 |
| James T Beaton | Family Medicine | Wynne Medical Clinic Pa | 710 S Falls Blvd, Wynne, AR 72396-0158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph W Labonte | Nurse Practitioner | Northeast Arkansas Community Mental Health Center Inc | 661 Addison Dr, Wynne, AR 72396-1602 |
| Marilyn Johnson | Psychologist, Clinical | Northeast Arkansas Community Mental Health Center Inc | 661 Addison Dr, Wynne, AR 72396-1602 |
| Kurt W Brawner | Optometry | Mitchell Eye Clinic Pa Inc | 668 Falls Blvd N, Wynne, AR 72396-2614 |
| Billy Mitchell Jr | Optometry | Mitchell Eye Clinic Pa Inc | 668 Falls Blvd N, Wynne, AR 72396-2614 |
| Elaine M Kemp | Psychologist, Clinical | 711 Canal Ave E, Turning Leaf Counseling LLC, Wynne, AR 72396-3004 | |
| Heather Louise Thatcher | Nurse Practitioner | St. Bernards Clinics Inc | 310 S Falls Blvd, Crossridge Community Hospital, Wynne, AR 72396-3013 |
| Jason S Paxton | Internal Medicine | St. Bernards Hospital Inc | 310 S Falls Blvd S, St Bernards Medical Center, Wynne, AR 72396-3013 |
| Barry M Garner | Gastroenterology | St. Bernards Clinics Inc | 310 S Falls Blvd, Crossridge Community Hospital, Wynne, AR 72396-3013 |
| Emma Suzette Eastin | Nurse Practitioner | St. Bernards Clinics Inc | 310 S Falls Blvd, Crossridge Community Hospital, Wynne, AR 72396-3013 |
| Brian Dickson Shaw | Clinical Social Worker | 204 Mississippi S St, Wynne, AR 72396-3025 | |
| Find all physicians in zip 72396 | |||
| City | WYNNE |
| Zip Code | 72396 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WYNNE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Willard G Burks.
| 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.