Broderick G Eaton (NPI# 1992115646, PAC ID# 4587978259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1992115646 |
| PAC ID by PECOS | 4587978259 |
| Professional Enrollment ID | I20160525000788 |
| Full Name | Broderick G Eaton |
| Organization Legal Name | ARCARE |
| Address |
601 Julia E Ave Wynne AR 72396-3506 |
| Phone Number | 8702380377 |
| Gender | M |
| Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567370620 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041307 | CROSSRIDGE COMMUNITY HOSPITAL |
| 040019 | FORREST CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 601 Julia E Ave, Wynne, AR 72396-3506 | 8702380377 | ARCARE |
| Organization Legal Name | ARCARE |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Jo Teague | Family Medicine | Arcare | 353 Hwy 15 N, Mississippicare 113, Pontotoc, MS 38863-1103 |
| Elisha J Hall | Nurse Practitioner | Arcare | 125 S 20th St, Paducah, KY 42001-7100 |
| Rebecca Jane O'shields | Nurse Practitioner | Arcare | 908 Edmonds Ave, Mc Crory, AR 72101-8073 |
| Ottysha Hadley | Nurse Practitioner | Arcare | 606 Wilbur D Mills N, Arcare 80, Kensett, AR 72082-9051 |
| Elizabeth Reinhard | Nurse Practitioner | Arcare | 5830 Hwy 5, Cabot, AR 72023-7328 |
| Jarrett Elaine Sherrill | Nurse Practitioner | Arcare | 1310 N Ctr St, Arcare 47, Lonoke, AR 72086-2011 |
| Renata Vaughn | Nurse Practitioner | Arcare | 623 N 9th St, Augusta, AR 72006-2129 |
| Amanda A Deel | Family Medicine | Arcare | 416 E Washington Ave, Jonesboro, AR 72401-3108 |
| Emily Jones | Nurse Practitioner | Arcare | 75 E Court St, Bardwell, KY 72023-8483 |
| Jennifer Long | Nurse Practitioner | Arcare | 1009 Hwy 18, Lake City, AR 72437-9622 |
| Street Address |
601 JULIA E AVE |
| City | WYNNE |
| State | AR |
| Zip | 72396-3506 |
| 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 |
| Willard G Burks | 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 |
| 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 | |
| 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 Broderick G Eaton.
| 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.