JACK N HEHMEYER (NPI# 1629064977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629064977 |
| Entity Type | Individual |
| Full Name | JACK N HEHMEYER |
| Credential | PA |
| Practice Address |
1205 E 35th St Texarkana AR 71854-2746 |
| Mailing Address |
Po Box 811 Texarkana TX 75504-0811 |
| Practice Telephone | 9037355355 |
| Practice Fax Number | 9037355399 |
| Mailing Telephone | 9037355355 |
| Mailing Fax Number | 9037355399 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03299 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 970025486 | 01 | |
| TX | BLUE CROSS | 8N4180 | 01 |
| AR | LICENSE | PA-193 | 01 |
| Street Address |
1205 E 35TH ST |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639163363 | Spanish Trace Clinic | Family Medicine | 1205 E 35th St, Texarkana, AR 71854-2746 | 2005-09-08 |
| 1730643115 | Maranda Wells | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2019-01-30 |
| 1053840082 | Crystal Marie Stanberry | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2017-06-04 |
| 1023461399 | Tommy Caldwell | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2016-07-21 |
| 1093186249 | East Texas Border Health Clinic | Clinic/Center | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-10-14 |
| 1578947925 | Mary Williams | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-07-15 |
| 1750765673 | Jennifer Miller | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-07-10 |
| 1780075473 | Sam Allen Nix | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-02-17 |
| 1700274909 | Pamela May | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854 | 2014-12-23 |
| 1104169895 | Kelly Leshell Hardin | Registered Nurse | 1205 E 35th St, Texarkana, AR 71854-2746 | 2013-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649360108 | Beverly Jean Stuart | Physician Assistant | 4001 Leopard Dr, Health Services, Texarkana, TX 75503 | 2006-10-13 |
| 1700173275 | Jeremy Brian Hutson | Physician Assistant | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2011-07-06 |
| 1255635801 | Sara Elizabeth Mcrorey | Physician Assistant | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2010-12-22 |
| 1376878926 | Stephen Kyle Keith | Physician Assistant | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2009-10-14 |
| 1376652289 | Bryan Spruill | Physician Assistant | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2006-08-30 |
| 1184610412 | Greater Texarkana People's Clinic, Inc. | Physician Assistant | 1102 Main St, Texarkana, TX 75501-4313 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
| 1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
| 1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
| 1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
| 1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
| 1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
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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.