Archie Hearne (NPI# 1851505358, PAC ID# 7416851100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1851505358 |
PAC ID by PECOS | 7416851100 |
Professional Enrollment ID | I20031124000660 |
Full Name | Archie Hearne |
Address |
1001 Wright Ave Little Rock AR 72206-1062 |
Phone Number | 5012242800 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
Graduation Year | 1980 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
Address | Phone | Organization |
---|---|---|
1001 Wright Ave, Little Rock, AR 72206-1062 | 5012242800 |
Street Address |
1001 WRIGHT AVE |
City | LITTLE ROCK |
State | AR |
Zip | 72206-1062 |
Name | Specialty | Organization | Address |
---|---|---|---|
Courtney J. Fallen | Nurse Practitioner | Dandd Doctors Pllc | 20602 Arch St, Little Rock, AR 72206 |
Nathan Gerrell Fawbush | Nurse Practitioner | Dandd Doctors Pllc | 20602 Arch St, Little Rock, AR 72206 |
City | LITTLE ROCK |
Zip Code | 72206 |
Specialty | FAMILY MEDICINE |
City + Specialty | LITTLE ROCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Archie Hearne.
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.