Hailey Small (NPI# 1447514310, PAC ID# 9537474762) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1447514310 |
| PAC ID by PECOS | 9537474762 |
| Professional Enrollment ID | I20150818004623 |
| Full Name | Hailey Small |
| Organization Legal Name | FLAGG EMERGENCY GROUP, PLLC |
| Address |
200 N 3rd St Dardanelle AR 72834-3802 |
| Phone Number | 4792294677 |
| Gender | F |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5698008019 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040041 | ST MARYS REGIONAL MEDICAL CENTER |
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 200 N 3rd St, Dardanelle, AR 72834-3802 | 4792294677 | FLAGG EMERGENCY GROUP, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 92% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 64% |
| Organization Legal Name | FLAGG EMERGENCY GROUP, PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Q Goodman | Pediatric Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Chet Alvis Crawford | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Kimberly D Whicker | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Payal Patel | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Street Address |
200 N 3RD ST |
| City | DARDANELLE |
| State | AR |
| Zip | 72834-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Q Goodman | Pediatric Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Chet Alvis Crawford | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Kimberly D Whicker | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Payal Patel | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Timothy B Vyrostek | Chiropractic | 200 N 3rd St, Conneaut Lake, PA 16316-0169 | |
| Jerry F Hodges | Family Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, River Valley Medical Center, Dardanelle, AR 72834-3802 |
| William P Scott | General Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Timothy Bryant | Emergency Medicine | Dardanelle Community Hospital LLC | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Bruce Mitchell | Family Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, River Valley Medical Center, Dardanelle, AR 72834-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Bell | Urology | 2301 W Main St, Russellville, AR 72834-2557 | |
| Allan Karl Kirkland | Family Medicine | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 | |
| Richard Garrison | Registered Dietitian Or Nutrition Professional | The Kirkland Family Medical Center, Pa | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 |
| Kayla Manatt | Nurse Practitioner | The Kirkland Family Medical Center, Pa | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 |
| Matthew Self | Family Practice | River Valley Medical Center Family Clinic LLC | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 |
| Joe T Hebert | Nurse Practitioner | Bradley Bibb Md Pllc | 1176 State Hwy 22 W B, Amc Dardanelle, Dardanelle, AR 72834-3006 |
| Katerina Lynn Devore | Nurse Practitioner | River Valley Medical Center Family Clinic LLC | 215 N 4th St, Dardanelle, AR 72834-3713 |
| Amy J Daiber | Optometry | 204 N Front St, Dardanelle, AR 72834-3824 | |
| Becky Gaspard | Clinical Social Worker | 116 S Front St, Dardanelle, AR 72834-4028 |
| City | DARDANELLE |
| Zip Code | 72834 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DARDANELLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Hailey Small.
| 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.