DR. CLYDE DODSON PAULK (NPI# 1497724157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497724157 |
| Entity Type | Individual |
| Full Name | DR. CLYDE DODSON PAULK |
| Credential | M.D. |
| Practice Address |
21 Opportunity Dr Sheridan AR 72150-9185 |
| Practice Telephone | 8709429833 |
| Practice Fax Number | 8709429837 |
| Mailing Telephone | 8709429833 |
| Mailing Fax Number | 8709429837 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2009-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C3204 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | UNITED HEALTHCARE | 01020368 | 01 |
| AR | BREASTCARE | 770023201 | 01 |
| AR | 102505001 | 05 | |
| AR | QUALCHOICE | 14003000000 | 01 |
| AR | HEATLHLINK | 383494 | 01 |
| AR | AETNA | 4295730 | 01 |
| Street Address |
21 OPPORTUNITY DR |
| City | SHERIDAN |
| State | AR |
| Zip Code | 72150-9185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285132 | James Alvin Nichols | Registered Nurse | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2018-12-02 |
| 1598912123 | Arkansas Health Group | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2008-08-26 |
| 1568656387 | Sheridan Medical Associates | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2007-09-05 |
| 1710004338 | Jefferson Management Service Inc | Clinic/Center | 21 Opportunity Dr, Attn Tracy Harrington, Sheridan, AR 72150-9185 | 2007-03-26 |
| 1700897600 | William Artis Highsmith | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656180 | Ryan Harris | Pharmacist | 821 N Rock Street, Sheridan, AR 72150 | 2019-08-30 |
| 1538561188 | Assisted Care for Seniors | In Home Supportive Care | 102 Center Street, Suite A, Sheridan, AR 72150 | 2014-09-25 |
| 1679653885 | Rodman & Armstrong Partnership | Optometrist | 201 W Holly, Sheridan, AR 72150 | 2006-10-16 |
| 1881790236 | Paul D Fitzgerald | Dentist | 209 W Holly, Sheridan, AR 72150 | 2006-09-15 |
| 1811912207 | Nancy Watson | Nurse Practitioner | 109 West Pine St., Suite A, Sheridan, AR 72150 | 2006-07-13 |
| 1356320832 | John B Simpson | Family Medicine | 651 Heritage Dr, Sheridan, AR 72150 | 2006-01-12 |
| 1548607161 | Deanna Hardiman | Counselor | 201 S Rose St, Sheridan, AR 72150 | 2013-05-23 |
| 1508130626 | Dorris Faye West | Technician/Technologist | 103 South Oak Street, Sheridan, AR 72150 | 2012-03-07 |
| 1689987620 | Melissa Gail Drake | Nurse Practitioner | 651 Heritage Dr, Sheridan, AR 72150 | 2010-07-20 |
| 1154594380 | Bhc Pinnacle Pointe Hospital | Clinic/Center | 201 S Rose St, Sheridan, AR 72150 | 2008-04-09 |
| Find all providers in zip 72150 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326633 | William A Highsmith Md Pa | Family Medicine | 21 Opportunity Drive, Sheridan, AR 72150-9185 | 2020-01-30 |
| 1508360413 | Access Medical Clinic Arkansas LLC | Family Medicine | 810 S Rock St, Sheridan, AR 72150-7066 | 2018-03-23 |
| 1851562706 | Turner Medical Clinic Inc | Family Medicine | 101 North Rose, Sheridan, AR 72150-2137 | 2008-03-19 |
| 1063624047 | Ronald L. Steury, D. O., P. C. | Family Medicine | 303 Congress St., Sheridan, MI 48884 | 2007-05-04 |
| 1851490874 | Michele L Bennett | Family Medicine | 248 W Works St, Sheridan, WY 82801-4213 | 2006-09-22 |
| 1154420768 | Sheridan Family Practice, P.C. | Family Medicine | 1435 Burton St, Sheridan, WY 82801-2723 | 2006-09-21 |
| 1679679393 | James Patrick Molloy IIi | Family Medicine | 950 Se Sheridan Rd, Sheridan, OR 97378-1913 | 2006-09-16 |
| 1467419036 | Kimberly Gartman | Family Medicine | 13911 Highway 270, Sheridan, AR 72150-9428 | 2006-04-27 |
| 1033173604 | Willamette Valley Clinics LLC | Family Medicine | 222 Se Jefferson St, Sheridan, OR 97378-1924 | 2006-04-12 |
| 1548239247 | Arkansas Health Group | Family Medicine | 1110 W Vine St, Sheridan, AR 72150-7804 | 2006-03-15 |
| Find all providers in SHERIDAN | ||||
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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.