Zachary T Tippin (NPI# 1295154714, PAC ID# 8426369315) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295154714 |
| PAC ID by PECOS | 8426369315 |
| Professional Enrollment ID | I20151111001784 |
| Full Name | Zachary T Tippin |
| Organization Legal Name | ARKANSAS EMERGENCY STAFFING SOLUTIONS INC |
| Address |
880 W Main St Booneville AR 72927-3443 |
| Phone Number | 4796752800 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3274681341 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| 040011 | CHAMBERS MEMORIAL HOSPITAL |
| 041305 | MERCY HOSPITAL WALDRON |
| Address | Phone | Organization |
|---|---|---|
| 880 W Main St, Booneville, AR 72927-3443 | 4796752800 | ARKANSAS EMERGENCY STAFFING SOLUTIONS INC |
| 719 Detroit Ave, Danville, AR 72833-9607 | 4794956270 | JOHN ED CHAMBERS MEMORIAL HOSPITAL INC |
| Organization Legal Name | ARKANSAS EMERGENCY STAFFING SOLUTIONS INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohanned H Ahmed | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Brandon M. Thurow | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 1341 W 6th St, Waldron, AR 72958-7642 |
| Kenneth C Prather | General Practice | Arkansas Emergency Staffing Solutions Inc | 1015 Unity Rd, Crossett, AR 71635-9443 |
| Jabbar Abdul Joshua | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 1015 Unity Rd, Crossett, AR 71635-9443 |
| James W Murdock | Emergency Medicine | Arkansas Emergency Staffing Solutions Inc | 1341 W 6th St, Waldron, AR 72958-7642 |
| Samuel Turner | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Joe D May | Hospitalist | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Jeff M Audibert | Emergency Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Ugochukwu Nwude | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 1015 Unity Rd, Crossett, AR 71635-9443 |
| Lance R Mcadams | Emergency Medicine | Arkansas Emergency Staffing Solutions Inc | 1341 W 6th St, Waldron, AR 72958-7642 |
| Street Address |
880 W MAIN ST |
| City | BOONEVILLE |
| State | AR |
| Zip | 72927-3443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricio Jose Montiel Ii | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Henry K Upchurch Jr. | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Chiricka E Orisakwe | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Michael S Miranda | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Lucreasie R Lewis | Nurse Practitioner | Kentucky River District Health Department | 880 W Main St, Hindman, KY 41822-8004 |
| Kelli L Rippy | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Richard E Daily | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Dane J Myers | Podiatry | 880 W Main St, Booneville, AR 72927-3443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Hale | Chiropractic | 181 W 6th St, Booneville, AR 72927-0597 | |
| Anthony Vincent Ciaramitaro | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 871 W Main St, Booneville, AR 72927-3420 |
| Syed I Hamid | Internal Medicine | Mercy Clinic Fort Smith Communities | 880 W Main, Booneville, AR 72927-3443 |
| Glenda Marie King | Nurse Practitioner | Mercy Hospital Booneville | 128 Daniel Dr, Booneville, AR 72927-4055 |
| Donna M Hunter | Clinical Social Worker | Global Therapy, Inc | 2 A Village Loop, Booneville, AR 72927-4133 |
| Billy Noel | Nurse Practitioner | 1069 S Sharpe Ave, Booneville, AR 72927-4683 | |
| Ricky D Ray | Optometry | 2 Riviera, Booneville, AR 72927-5312 |
| City | BOONEVILLE |
| Zip Code | 72927 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOONEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Zachary T Tippin.
| 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.