Katie N Blalack (NPI# 1497241343, PAC ID# 7911256318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1497241343 |
| PAC ID by PECOS | 7911256318 |
| Professional Enrollment ID | I20180817002052 |
| Full Name | Katie N Blalack |
| Organization Legal Name | NE ARKANSAS OTOLARYNGOLOGY FACIAL SURGERY P A |
| Address |
621 E Matthews Ave Jonesboro AR 72401-3145 |
| Phone Number | 8709326799 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012085863 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040020 | ST BERNARDS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 621 E Matthews Ave, Jonesboro, AR 72401-3145 | 8709326799 | NE ARKANSAS OTOLARYNGOLOGY FACIAL SURGERY P A |
| Organization Legal Name | NE ARKANSAS OTOLARYNGOLOGY FACIAL SURGERY P A |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayley Himstedt | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Mary K Criner | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Sarah Holland Benton | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Shane R Smith | Otolaryngology | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| David M Lewis | Otolaryngology | Ne Arkansas Otolaryngology Facial Surgery P A | 1100 Medical Dr, Blytheville, AR 72315-1425 |
| Lindsay White | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Joseph H Sales | Otolaryngology | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| John B Jiu | Otolaryngology | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Heather L Benton Young | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Street Address |
621 E MATTHEWS AVE |
| City | JONESBORO |
| State | AR |
| Zip | 72401-3145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayley Himstedt | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Mary K Criner | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Sarah Holland Benton | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Shane R Smith | Otolaryngology | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Lindsay White | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Joseph H Sales | Otolaryngology | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| John B Jiu | Otolaryngology | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Heather L Benton Young | Qualified Audiologist | Ne Arkansas Otolaryngology Facial Surgery P A | 621 E Matthews Ave, Jonesboro, AR 72401-3145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JONESBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Katie N Blalack.
| 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.