Henry K Upchurch Jr. (NPI# 1285624817, PAC ID# 9739159393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1285624817 |
| PAC ID by PECOS | 9739159393 |
| Professional Enrollment ID | I20180611000460 |
| Full Name | Henry K Upchurch Jr. |
| Organization Legal Name | MERCY HOSPITAL BOONEVILLE |
| Address |
880 W Main St Booneville AR 72927-3443 |
| Phone Number | 4796752800 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1988 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1951530385 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040018 | SPARKS MEDICAL CENTER VAN BUREN |
| 041318 | MERCY HOSPITAL BOONEVILLE |
| Address | Phone | Organization |
|---|---|---|
| 880 W Main St, Booneville, AR 72927-3443 | 4796752800 | MERCY HOSPITAL BOONEVILLE |
| 2020 Chestnut St, Suite 106, Van Buren, AR 72956-5327 | 4794743401 | PHILLIPS LANDING EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | MERCY HOSPITAL BOONEVILLE |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenda Marie King | Nurse Practitioner | Mercy Hospital Booneville | 128 Daniel Dr, Booneville, AR 72927-4055 |
| Patricio Jose Montiel Ii | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Julie E Greek | Nurse Practitioner | Mercy Hospital Booneville | 351 E Priddy St, Mercy Family Med Magazine, Magazine, AR 72943-8503 |
| 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 |
| 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 |
| 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 |
| Zachary T Tippin | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 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 | EMERGENCY MEDICINE |
| City + Specialty | BOONEVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Henry K Upchurch Jr..
| 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.