MEDCOM IMAGING, INC. (NPI# 1548813793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548813793 |
| Entity Type | Organization |
| Organization Name | MEDCOM IMAGING, INC. |
| Practice Address |
11 Sherwood Ln Clarksville AR 72830-4500 |
| Mailing Address |
102 N 17th St Ozark AR 72949-2349 |
| Practice Telephone | 4792132546 |
| Mailing Telephone | 4792132546 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | GARRETT KUNA (COO) |
| Authorized Official Telephone | 4792132546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PRIVATE PROVIDER | 04152018 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDCOM IMAGING, INC. | 102 N 17th St, Ozark, AR 72949-2349 |
| Street Address |
11 SHERWOOD LN |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699319558 | Shelby Medical, Inc. | General Practice | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750671798 | Douglas D. Snodgrass | Radiology | 208 Hutchins Camp Trce, Clarksville, TN 37043-1058 | 2011-04-11 |
| 1104860857 | Bedford Radiology, Pllc | Radiology | 2257 Wilma Rudolph Blvd, Suite D, Clarksville, TN 37040-6194 | 2006-06-15 |
| 1053302489 | Norman A Scarborough | Radiology | 2831 Wilma Rudolph Blvd, Clarksville, TN 37040-5002 | 2005-11-03 |
| 1518957281 | Anna Victoria Morales | Radiology | 6923 Westcott Pl, Clarksville, MD 21029-1710 | 2005-10-25 |
| 1477093441 | Janine Hughes | Radiology | 6030 Daybreak Cir, A150, Clarksville, MD 21029-1642 | 2017-02-24 |
| 1437313202 | Kevin Scott Preston | Radiology | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2008-07-10 |
| 1831293497 | Patricia L. Verhulst | Radiology | 2831 Wilma Rudolph Blvd, Clarksville, TN 37040-5002 | 2006-09-12 |
| 1679517833 | Jeffrey Trent Wade | Radiology | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2006-06-16 |
| 1598727042 | Loy Allen Forsythe | Radiology | 651 Dunlop Ln, Suite 530, Clarksville, TN 37040-5015 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668357 | Medical Associates of Northwest Arkansas, Pa | Radiology | 3901 Parkway Cir Ste 125, Springdale, AR 72762-6362 | 2020-10-30 |
| 1144853821 | Resort Radiology, Pllc | Radiology | 13107 Colonel Glenn Rd, Little Rock, AR 72210-2319 | 2020-02-20 |
| 1750848552 | Tamesha Green | Radiology | 3204 Salinas De Hidalgo, North Little Rock, AR 72118-1167 | 2019-02-27 |
| 1598243560 | Medical Associates of Northwest Arkansas Pa | Radiology | 502 N Walnut St, Harrison, AR 72601-3616 | 2018-08-01 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1245626704 | Michael Platt | Radiology | 15 W Nottingham Ln, Rogers, AR 72758-9513 | 2015-04-11 |
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1700211653 | Medical Associates of Northwest Arkansas Pa | Radiology | 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 | 2013-09-11 |
| 1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
| 1134460280 | William T Shultz | Radiology | 908 Redbud Dr, Mena, AR 71953-2537 | 2013-03-13 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
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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.