COLLOM AND CARNEY CLINIC ASSOCIATION (NPI# 1447232814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447232814 |
| Entity Type | Organization |
| Organization Name | COLLOM AND CARNEY CLINIC ASSOCIATION |
| Other Organization Name | COLLOM AND CARNEY CLINIC RADIOLOGY |
| Practice Address |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 |
| Practice Telephone | 9036143000 |
| Practice Fax Number | 9036143525 |
| Mailing Telephone | 9036143000 |
| Mailing Fax Number | 9036143525 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MARY E DWIGHT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9036143282 |
| Authorized Official Credential | CCS-P, MHA, CMPE |
| Is Organization Subpart | Y |
| Parent Organization Name | COLLOM AND CARNEY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
========= | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | CU0435 | 01 |
| TX | 082238901 | 05 |
| Other Name | Type Code |
|---|---|
| Collom and Carney Clinic Radiology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407273287 | Collom and Carney Clinic Association | Neurological Surgery | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2014-03-18 |
| 1316364193 | Collom and Carney Clinic Association | Radiology | 511 W 11th St, Texarkana, TX 75501-4300 | 2014-03-18 |
| 1265414635 | Collom and Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-18 |
| 1285616805 | Collom and Carney Clinic Association | Family Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-18 |
| 1376525832 | Collom and Carney Clinic Association | Otolaryngology | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-18 |
| 1619959244 | Collom and Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-18 |
| 1952383770 | Collom and Carney Clinic Association | Physical Medicine & Rehabilitation | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-17 |
| 1588646301 | Collom and Carney Clinic Association | Pediatrics | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-17 |
| 1285616003 | Collom and Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-17 |
| 1083696801 | Collom and Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-17 |
| Street Address |
5002 COWHORN CREEK RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-9766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255229 | Jeffrey David Decaprio | Surgery | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-06-17 |
| 1225681604 | Lauren N. Hadaway | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2019-07-24 |
| 1144872839 | Brandi M. Martin | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2019-07-12 |
| 1093292104 | Heidi R Smith | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-07-20 |
| 1194215814 | Angela L Bowen | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-05-17 |
| 1689174955 | Cody C Ray | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-02-13 |
| 1699282087 | Melissa Ann Lamon | Registered Nurse | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2018-01-07 |
| 1013443589 | Laura L Jackson | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-05-03 |
| 1316478852 | Schamma Salomon | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-03-26 |
| 1346781325 | Melissa Elizabeth Redfearn | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053334441 | Texarkana Pet/ct Imaging Institute, L.p. | Clinic/Center | 1929 Moores Ln, Texarkana, TX 75503-4612 | 2006-07-26 |
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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.