John Owen Stevens (NPI# 1508886482, PAC ID# 4385799501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1508886482 |
| PAC ID by PECOS | 4385799501 |
| Professional Enrollment ID | I20120130000062 |
| Full Name | John Owen Stevens |
| Organization Legal Name | COLLOM AND CARNEY CLINIC |
| Address |
816 E St Texarkana AR 71854-6808 |
| Phone Number | 9036143000 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 1355249541 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450801 | CHRISTUS ST MICHAEL HEALTH SYSTEM |
| 450200 | WADLEY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 9036143000 | COLLOM AND CARNEY CLINIC |
| 816 E St, Texarkana, AR 71854-6808 | 9036143000 | 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 |
| 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 |
| Paul A Smith | Nurse Practitioner | Collom and Carney Clinic | 128 N Ellis, New Boston, New Boston, TX 75570-2904 |
| Street Address |
816 E ST |
| City | TEXARKANA |
| State | AR |
| Zip | 71854-6808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muazer Bushra Mohamed Ahmed | Nephrology | Collom and Carney Clinic | 816 E St, Texarkana, AR 71854-6808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kizer Contrel Neal | Clinical Social Worker | 4613 Pkwy Dr, Suite 5, Texarkana, AR 71854-1142 | |
| Kyle Diaz | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Matthew W Nix | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Mylene Crouthamel | Nurse Practitioner | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Sondra G Bedwell | Nurse Practitioner | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Russell E Mayo | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Cheryl K Verma | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Michael R Downs | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Porscha Nicole Branch | Nurse Practitioner | East Texas Border Health Clinic | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Kathryn E Brannan | Nurse Practitioner | C H Wilkinson Physician Network | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Find all physicians in zip 71854 | |||
| City | TEXARKANA |
| Zip Code | 71854 |
| Specialty | NEPHROLOGY |
| City + Specialty | TEXARKANA + NEPHROLOGY |
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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.