Kimberly Rae Carr (NPI# 1912498585, PAC ID# 4880949700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912498585 |
| PAC ID by PECOS | 4880949700 |
| Professional Enrollment ID | I20180618003102 |
| Full Name | Kimberly Rae Carr |
| Organization Legal Name | INTERNAL MEDICINE DIAGNOSTICS INC |
| Address |
197 Hospital Dr Suite B Cherokee Village AR 72529-7315 |
| Phone Number | 8702575118 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294791984 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040119 | WHITE RIVER MEDICAL CENTER |
| 040027 | BAXTER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 197 Hospital Dr, Suite B, Cherokee Village, AR 72529-7315 | 8702575118 | INTERNAL MEDICINE DIAGNOSTICS INC |
| Organization Legal Name | INTERNAL MEDICINE DIAGNOSTICS INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Surinder P Sra | Internal Medicine | Internal Medicine Diagnostics Inc | 197 Hospital Dr, Suite B, Cherokee Village, AR 72529-7315 |
| Street Address |
197 HOSPITAL DR SUITE B |
| City | CHEROKEE VILLAGE |
| State | AR |
| Zip | 72529-7315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Surinder P Sra | Internal Medicine | Internal Medicine Diagnostics Inc | 197 Hospital Dr, Suite B, Cherokee Village, AR 72529-7315 |
| Elizabeth M Kilgore | Optometry | Progressive Eye Center Inc | 197 Hospital Dr, Suite A, Cherokee Village, AR 72529-7315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keren Levenbach | Clinical Social Worker | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | |
| Tommy G Taylor | Internal Medicine | Northeast Arkansas Clinic Charitable Foundation, Inc. | 51 Choctaw Trce, Cherokee Village, AR 72529-2702 |
| Lauren Bloch | Family Medicine | White River Health System Inc | 195 Hospital Dr, Cherokee Village, AR 72529-7314 |
| Keely A Rogers | Physical Therapy | Therapy Works, Inc | 31 Choctaw Ctr, Cherokee Village, AR 72529-7430 |
| Bryan R Declerk | Physical Therapy | Therapy Works, Inc | 31 Choctaw Ctr, Cherokee Village, AR 72529-7430 |
| City | CHEROKEE VILLAGE |
| Zip Code | 72529 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHEROKEE VILLAGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Rae Carr.
| 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.