Courtney Jean Stewart (NPI# 1629557582, PAC ID# 6204186166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629557582 |
| PAC ID by PECOS | 6204186166 |
| Professional Enrollment ID | I20180913003186 |
| Full Name | Courtney Jean Stewart |
| Organization Legal Name | DERMATOLOGY OFFICE PC |
| Address |
1707 Linwood Dr Suite B Paragould AR 72450-5365 |
| Phone Number | 8702150669 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244392009 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040039 | ARKANSAS METHODIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1707 Linwood Dr, Suite B, Paragould, AR 72450-5365 | 8702150669 | DERMATOLOGY OFFICE PC |
| Organization Legal Name | DERMATOLOGY OFFICE PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandice A Rogers | Nurse Practitioner | Dermatology Office PC | 1707 Linwood Dr, Suite B, Paragould, AR 72450-5365 |
| Jessica L Miller | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Vanessa Adams | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Zachary L Ferguson | Physician Assistant | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Lance F Yeoman | Dermatology | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Wendy Y Raney | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Debra G Russell | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Poplar Bluff, MO 63901-3921 |
| Phyllis A Hansen | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Street Address |
1707 LINWOOD DR SUITE B |
| City | PARAGOULD |
| State | AR |
| Zip | 72450-5365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandice A Rogers | Nurse Practitioner | Dermatology Office PC | 1707 Linwood Dr, Suite B, Paragould, AR 72450-5365 |
| Lacey Shayann Wyatt | Nurse Practitioner | Kenneth F Rodgers Md Pa | 1707 Linwood Dr, Suite A, Paragould, AR 72450-5365 |
| Kenneth F Rodgers | Gastroenterology | Kenneth F Rodgers Md Pa | 1707 Linwood Dr, Suite A, Paragould, AR 72450-5365 |
| Kelly K. Malone | Nurse Practitioner | Kenneth F Rodgers Md Pa | 1707 Linwood Dr, Suite A, Paragould, AR 72450-5365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Cullins | Optometry | Jonathan B. Ross Od Pa | 2802 W Kingshighway, Paragould, AR 72450-2617 |
| Roger E Cagle | Family Medicine | Cr Doc Pllc | 2700 W Kingshighway, Suite 4, Paragould, AR 72450-2637 |
| Toni T Garner | Nurse Practitioner | Cr Doc Pllc | 2700 W Kingshighway, Suite 4, Paragould, AR 72450-2637 |
| Deborah A Miles | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Pamela G Ramirez | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Heather E Bastel | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Teri S Gill Butler | Optometry | 2711 W Kingshighway, Suite 4, Paragould, AR 72450-2645 | |
| Joel Matthew Inman | Chiropractic | Inman Chiropractic and Rehabilitation Center Pllc | 2711 W Kingshighway, Suite 14, Paragould, AR 72450-2645 |
| William E Fisher | Chiropractic | 105 Reynolds Rd, Paragould, AR 72450-2710 | |
| April L Towell | Clinical Social Worker | Families, Inc of Arkansas | 1101 W Morgan St, Suite 8, Paragould, AR 72450-2848 |
| Find all physicians in zip 72450 | |||
| City | PARAGOULD |
| Zip Code | 72450 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PARAGOULD + NURSE PRACTITIONER |
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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.