BAXTER COUNTY REGIONAL HOSPITAL INC (NPI# 1093242000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093242000 |
| Entity Type | Organization |
| Organization Name | BAXTER COUNTY REGIONAL HOSPITAL INC |
| Other Organization Name | BRMC COMPREHENSIVE UROLOGY CLINIC |
| Practice Address |
628 Hospital Dr Ste 2b Mountain Home AR 72653-2953 |
| Practice Telephone | (870) 508-2950 |
| Practice Fax Number | 8705081651 |
| Mailing Telephone | 8705082950 |
| Mailing Fax Number | 8705081651 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-07-20 |
| Authorized Official Name | DEBRA HENRY (CFO) |
| Authorized Official Telephone | 8705081003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BRMC Comprehensive Urology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710541289 | Baxter County Regional Hospital Inc | Clinic/Center | 414 W Old Main St Ste B, Yellville, AR 72687-8284 | 2019-04-30 |
| 1093242018 | Baxter County Regional Hospital Inc | Obstetrics & Gynecology | 628 Hospital Dr Ste 3b, Mountain Home, AR 72653-2953 | 2017-05-22 |
| 1871128116 | Baxter County Regional Hospital Inc | Internal Medicine | 310 Buttercup Dr, Suite C, Mountain Home, AR 72653 | 2020-03-06 |
| 1720515737 | Baxter County Regional Hospital Inc | Neurological Surgery | 310 Buttercup Dr Ste A, Mountain Home, AR 72653-2932 | 2017-05-22 |
| 1457893281 | Baxter County Regional Hospital Inc | Internal Medicine | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2016-11-10 |
| 1598030579 | Baxter County Regional Hospital Inc | Clinic/Center | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2012-03-09 |
| 1518239896 | Baxter County Regional Hospital Inc | Obstetrics & Gynecology | 444 Hospital Dr, Mountain Home, AR 72653-2900 | 2012-02-02 |
| 1205157427 | Baxter County Regional Hospital Inc | Nurse Practitioner | 65 Wal Mart Dr, Mountain Home, AR 72653-6784 | 2010-06-22 |
| 1841437175 | Baxter County Regional Hospital Inc | Specialist | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2009-01-08 |
| 1235382631 | Baxter County Regional Hospital Inc | Internal Medicine | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2008-10-29 |
| Street Address |
628 HOSPITAL DR STE 2B |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598805939 | Douglas Lloyd Kozlowski | Urology | Corner of Veteran's Way and Lamont, J H Quillen Va Medical Center, Mountain Home, TN 37684 | 2007-02-07 |
| 1740356153 | Jason Teague Lindsay | Urology | 15 Green Valley Dr, Mountain Home, AR 72653-8102 | 2006-11-28 |
| 1053828905 | Mountain Home Urology, P.a. | Urology | 15 Green Valley Dr, Mountain Home, AR 72653-8102 | 2018-01-01 |
| 1144662875 | Daniel Fernando Zapata | Urology | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952 | 2013-07-23 |
| 1003086646 | Baxter County Regional Hospital Inc. | Urology | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| 1205039807 | Daniel B. Decker | Urology | 505 Hospital Dr, Mountain Home, AR 72653-2912 | 2007-06-09 |
| 1659400257 | Baxter County Regional Hospital | Urology | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952 | 2007-03-02 |
| 1508913849 | Terkeurst Urology Clinic Pa | Urology | 124 Highway 201 N, Mountain Home, AR 72653-3158 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295259406 | Bruno Lopes Cancado Machado | Urology | 4301 W Markham St Ste 540, Little Rock, AR 72205-7101 | 2017-07-29 |
| 1730575432 | Renee Powell Warford | Urology | 1 Mercy Ln Ste 200a, Hot Springs, AR 71913-6457 | 2015-04-09 |
| 1215370861 | Nathan R Littlejohn | Urology | 1662 Higdon Ferry Rd Ste 140, Hot Springs, AR 71913 | 2013-04-14 |
| 1366739971 | Gerald Mark Heulitt | Urology | 4200 Stockton Dr, North Little Rock, AR 72117-2915 | 2011-07-03 |
| 1487972527 | Rudolph Noah Bowens Jr. | Urology | 303 E Matthews Ave Ste 100, Jonesboro, AR 72401-3113 | 2010-05-13 |
| 1982838488 | Robert Teryl Brooks Jr. | Urology | 4611 Stevens Dr, Pine Bluff, AR 71603-7303 | 2009-05-12 |
| 1255578894 | Alina Mielnick, Md, Pa | Urology | 601 Bd Highway 71 North, Mena, AR 71953-4394 | 2009-01-20 |
| 1225297260 | Diana Kay Braziel | Urology | 3400 Se Macy Road, Suite 18, Bentonville, AR 72712 | 2008-06-05 |
| 1437348745 | Enoch Walden Williams | Urology | 3817 S Culberhouse Rd, Jonesboro, AR 72404-9067 | 2007-10-23 |
| 1801091244 | Robert Guy Lassonde | Urology | 205 Purple Martin Ln, Hot Springs, AR 71913-8599 | 2007-06-17 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.