CLINTON BROUGH EDWARDS (NPI# 1386611598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386611598 |
| Entity Type | Individual |
| Full Name | CLINTON BROUGH EDWARDS |
| Credential | MD |
| Practice Address |
300 Carson St Jonesboro AR 72401-3104 |
| Practice Telephone | 8709321198 |
| Practice Fax Number | 9709107709 |
| Mailing Telephone | 8709321198 |
| Mailing Fax Number | 9709107709 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
E4439 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 157205001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376108191 | Clinton Jamie Edwards | Counselor | 3169 North Carolina Highway South, Walnut Cove, NC 27052 | 2019-05-07 |
| Street Address |
300 CARSON ST |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036924 | John Franklin Ball | Orthopaedic Surgery | 300 Carson St, Jonesboro, AR 72401-3104 | 2005-07-07 |
| 1497376040 | Zachary Carter Lee | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-05 |
| 1598386344 | Austin Richardson | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-04 |
| 1225659014 | Derek M Childers | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1881215697 | Joshua Buell | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1912528704 | Anna Margarita De Feria | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1184245037 | Hadia I Arzoun | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-01 |
| 1407410905 | Amanda Sale | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-30 |
| 1952864324 | Cameron Sandefur | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-11 |
| 1306309059 | James Kenton Riddle | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538383799 | Adam Woodruff | Internal Medicine | 4802 E. Johnson Ave, Jonesboro, AR 72401 | 2007-04-12 |
| 1346508470 | Gerren Hobby | Internal Medicine | 4802 E Johnson Ave, Jonesboro, AR 72401-6240 | 2012-04-26 |
| 1689714024 | James Maxwell | Internal Medicine | 300 Carson St, Jonesboro, AR 72401-3104 | 2007-02-07 |
| 1437127800 | Michael G Mackey | Internal Medicine | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075121 | Ronald Hughes | Internal Medicine | 4919 Stonewall Rd, Little Rock, AR 72207-4735 | 2016-03-17 |
| 1578806477 | Washington Regional Medical System | Internal Medicine | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6314 | 2013-03-29 |
| 1194909325 | Umbar Ghaffar | Internal Medicine | 813 Founders Park Drive, Suite 203, Springdale, AR 72762-6314 | 2007-12-24 |
| 1588845259 | Nephrology Associates, PC | Internal Medicine | 1409 E Moultrie Dr, Blytheville, AR 72315-6855 | 2007-11-21 |
| 1255543278 | Prajwal Chevireddy | Internal Medicine | 9601 Baptist Health Dr Ste 350, Little Rock, AR 72205-6356 | 2007-05-03 |
| 1376665646 | Drew Courtney Heiple | Internal Medicine | 115 Wrights St Ste C, Hot Springs National Park, AR 71913-6240 | 2007-04-06 |
| 1174608905 | Daniel P Chock | Internal Medicine | 503 S College St, Mountain Home, AR 72653 | 2006-10-27 |
| 1942308101 | Gregory P. Mock | Internal Medicine | 403 S Poplar St Ste D, Searcy, AR 72143-6000 | 2006-09-20 |
| 1932202819 | Muhammad G Alam | Internal Medicine | 500 S University Ave Ste 508, Little Rock, AR 72205-5306 | 2006-09-06 |
| 1194836874 | Northwest Arkansas Renal Dialysis Associates | Internal Medicine | 708 Quandt Ave, Springdale, AR 72764-5309 | 2006-08-31 |
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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.