COLLOM & CARNEY CLINIC (NPI# 1750364899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750364899 |
| Entity Type | Organization |
| Organization Name | COLLOM & CARNEY CLINIC |
| Other Organization Name | COLLOM & CARNEY CLINIC SUPPLIES |
| 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 | 2005-11-22 |
| Last Update Date | 2019-10-01 |
| 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 & CARNEY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | TX | Suppliers |
| Other Name | Type Code |
|---|---|
| Collom & Carney Clinic Supplies | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262732 | Collom & Carney Clinic | Family Medicine | 1440 W 1st N, Prescott, AR 71853 | 2005-11-16 |
| 1962829747 | Collom & Carney Clinic | Anesthesiology | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2014-03-18 |
| 1437455565 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2011-02-08 |
| 1295929743 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2007-08-28 |
| 1881887891 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 1440 W 1st St N, Prescott, AR 71857-3339 | 2007-08-22 |
| 1114909934 | Collom & Carney Clinic | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-17 |
| 1811979586 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 128 N Ellis St, New Boston, TX 75570-2904 | 2005-11-17 |
| 1720060494 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 815 N Kings Hwy, Wake Village, TX 75501-5700 | 2005-11-17 |
| 1114909223 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 5402 Summerhill Rd, Texarkana, TX 75503-4607 | 2005-11-15 |
| 1548241920 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 2931 Richmond Rd, Texarkana, TX 75503 | 2005-11-11 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407305881 | Oak Dme Supply Company, LLC | Durable Medical Equipment & Medical Supplies | 6500 Summerhill Rd Ste C, Texarkana, TX 75503-1721 | 2016-09-27 |
| 1477002012 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2904 Arkansas Blvd Ste 116, Texarkana, AR 71854-2536 | 2016-09-23 |
| 1326419920 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 3504 Richmond Rd, Texarkana, TX 75503-0705 | 2015-10-08 |
| 1316313307 | Team Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 210 N State Line Ave Ste 201, Texarkana, AR 71854-5917 | 2015-08-13 |
| 1427452168 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 3302 Summerhill Rd, Texarkana, TX 75503-3905 | 2014-10-09 |
| 1104167352 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 4613 Parkway Dr, Suite A, Texarkana, AR 71854-1142 | 2013-03-13 |
| 1124372636 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1901 Richmond Rd, Texarkana, TX 75503-2424 | 2012-11-06 |
| 1659629152 | Arkansas Cvs Pharmacy L.L.C. | Durable Medical Equipment & Medical Supplies | 3908 N State Line Ave, Texarkana, AR 71854-1935 | 2012-08-15 |
| 1902191067 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3610 Saint Michael Dr, Texarkana, TX 75503-2341 | 2011-06-16 |
| 1700025194 | Rece's Services | Durable Medical Equipment & Medical Supplies | 1409 E 29th St, Texarkana, AR 71854-2942 | 2009-02-09 |
| Find all providers in TEXARKANA | ||||
Please comment or provide details below to improve the information on COLLOM & CARNEY CLINIC.
| 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.