John E Henriksen (NPI# 1083675284, PAC ID# 2264513191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083675284 |
| PAC ID by PECOS | 2264513191 |
| Professional Enrollment ID | I20080117000286 |
| Full Name | John E Henriksen |
| Organization Legal Name | OUACHITA COUNTY MEDICAL CENTER |
| Address |
638 California Ave Sw Ouachita County Medical Center Er Camden AR 71701-4604 |
| Phone Number | 8708361000 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4587641055 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040050 | OUACHITA COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 | 8708361000 | OUACHITA COUNTY MEDICAL CENTER |
| Organization Legal Name | OUACHITA COUNTY MEDICAL CENTER |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Daniel | Emergency Medicine | Ouachita County Medical Center | 638 California Swave, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Nicholas S Smith | Emergency Medicine | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Richard M Landaverde | Nurse Practitioner | Ouachita County Medical Center | 415 Hospital Dr, Camden, AR 71701-4615 |
| Brent D Blackburn | Nurse Practitioner | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Jan M Scantling | Nurse Practitioner | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Shaletha D Jones | Hospitalist | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Tori L Laduke | Nurse Practitioner | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Judson N Hout | Family Medicine | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Tracy Tyrone Mack | Emergency Medicine | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Bal N Shrestha | General Surgery | Ouachita County Medical Center | 638 California Ave Sw, Camden, AR 71701-4604 |
| Street Address |
638 CALIFORNIA AVE SW OUACHITA COUNTY MEDICAL CENTER ER |
| City | CAMDEN |
| State | AR |
| Zip | 71701-4604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas S Smith | Emergency Medicine | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Necie Fain | Certified Registered Nurse Anesthetist (crna) | 638 California Ave Sw, East Camden, AR 71701-4604 | |
| Brent D Blackburn | Nurse Practitioner | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Jan M Scantling | Nurse Practitioner | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Shaletha D Jones | Hospitalist | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Tori L Laduke | Nurse Practitioner | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Judson N Hout | Family Medicine | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Tracy Tyrone Mack | Emergency Medicine | Ouachita County Medical Center | 638 California Ave Sw, Ouachita County Medical Center Er, Camden, AR 71701-4604 |
| Bal N Shrestha | General Surgery | Ouachita County Medical Center | 638 California Ave Sw, Camden, AR 71701-4604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mickey W Lindsey | Maxillofacial Surgery | Mickey W. Lindsey D.d.s.,p.a. | 1920 Washington St, Camden, AR 71701-3134 |
| Steven J Keller | Chiropractic | 1920 Washington B, Camden, AR 71701-3134 | |
| Chelsea J Bounds | Nurse Practitioner | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| Lawrence F Braden | Family Medicine | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| Jerakaycia D Smith | Family Medicine | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| David E Connor | Neurosurgery | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| Mark R Crump | Family Medicine | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| David H Mosley | Family Medicine | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| Johnathan W Lewis | Family Medicine | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| Nicole Critton | Nurse Practitioner | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| Find all physicians in zip 71701 | |||
| City | CAMDEN |
| Zip Code | 71701 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CAMDEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John E Henriksen.
| 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.