Clinton B Edwards (NPI# 1386611598, PAC ID# 0547206211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1386611598 |
| PAC ID by PECOS | 0547206211 |
| Professional Enrollment ID | I20050702000004 |
| Full Name | Clinton B Edwards |
| Organization Legal Name | ST. BERNARDS CLINICS INC |
| Address |
1001 E Moultrie Fresenius Dialysis Blytheville AR 72315-6867 |
| Phone Number | 8707627700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 8921287087 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040039 | ARKANSAS METHODIST MEDICAL CENTER |
| 040047 | FIVE RIVERS MEDICAL CENTER |
| 040119 | WHITE RIVER MEDICAL CENTER |
| 041309 | LAWRENCE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 E Moultrie, Fresenius Dialysis, Blytheville, AR 72315-6867 | 8707627700 | ST. BERNARDS CLINICS INC |
| 1007 E Matthews, Clopton Clinic Gastroenterology, Jonesboro, AR 72401-4308 | 8703360472 | ST. BERNARDS CLINICS INC |
| 1201 Fleming Ave, Jonesboro, AR 72401-4311 | 8709320440 | ST. BERNARDS CLINICS INC |
| 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 8709724100 | ST. BERNARDS CLINICS INC |
| 300 Carson St, Jonesboro, AR 72401-3104 | 8709321198 | ST. BERNARDS CLINICS INC |
| 3024 Red Wolf Blvd, Arkansas Continued Care Hospital, Jonesboro, AR 72401-7415 | 8709727000 | ST. BERNARDS CLINICS INC |
| 540 E Washington St, St Bernards Dialysis Unit, Jonesboro, AR 72401-3109 | 8709724477 | ST. BERNARDS CLINICS INC |
| 1207 State Route V V, Kennett, MO 63857-3823 | 5738880222 | ST. BERNARDS CLINICS INC |
| 1332 W Keiser Ave, Davita Osceola, Osceola, AR 72370-2919 | 8705634901 | ST. BERNARDS CLINICS INC |
| 1420 W Keiser Ave, St Bernards Dialysis Clinic Osceola, Osceola, AR 72370-2919 | 8702074100 | ST. BERNARDS CLINICS INC |
| 901 W Kingshighway, Us Renal, Paragould, AR 72450-5943 | 8702150187 | ST. BERNARDS CLINICS INC |
| 2901 Medical Ctr Dr, Pocahontas, AR 72455-9438 | 8708924467 | ST. BERNARDS CLINICS INC |
| Organization Legal Name | ST. BERNARDS CLINICS INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly D Daniels | Nurse Practitioner | St. Bernards Clinics Inc | 1007 E Matthews, Clopton Clinic Gastroenterology, Jonesboro, AR 72401-4308 |
| Heather Louise Thatcher | Nurse Practitioner | St. Bernards Clinics Inc | 310 S Falls Blvd, Crossridge Community Hospital, Wynne, AR 72396-3013 |
| James R Maxwell | Nephrology | St. Bernards Clinics Inc | 139 W Hwy 64 100, Dci Mccrory, Mccrory, AR 72101-8263 |
| Joseph Md Kueter | Urology | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Andrea Michelle Cooper | Nurse Practitioner | St. Bernards Clinics Inc | 1001 E Moultrie, Fresenius Dialysis, Blytheville, AR 72315-6867 |
| Jeffrey Stidman | Gastroenterology | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Tammy R Hawkins | Nurse Practitioner | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Rhonda Lee Hill | Nurse Practitioner | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| John F Ball | Orthopedic Surgery | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Barry M Garner | Gastroenterology | St. Bernards Clinics Inc | 310 S Falls Blvd, Crossridge Community Hospital, Wynne, AR 72396-3013 |
| Street Address |
1001 E MOULTRIE FRESENIUS DIALYSIS |
| City | BLYTHEVILLE |
| State | AR |
| Zip | 72315-6867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Michelle Cooper | Nurse Practitioner | St. Bernards Clinics Inc | 1001 E Moultrie, Fresenius Dialysis, Blytheville, AR 72315-6867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Lee Jacoby | Nurse Practitioner | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Karen C Hester | Pediatric Medicine | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Anthony Daniels | Obstetrics/gynecology | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Richard L Hester | Internal Medicine | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Ronnie Wayne Dennis | Obstetrics/gynecology | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Chimere A Ashley | Family Medicine | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| James D. Russell | General Practice | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Connie Kay Ash | Nurse Practitioner | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Jonathan D White | Family Medicine | Diffine Family Practice Pllc | 1100 Medical Plaza Dr, Suite C, Blytheville, AR 72315-1425 |
| Ahmed Hussain | Urology | Mississippi County Hospital System | 1100 Medical Dr, Blytheville, AR 72315-1425 |
| Find all physicians in zip 72315 | |||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
| Specialty | NEPHROLOGY |
| City + Specialty | BLYTHEVILLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Clinton B Edwards.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.