Charles D Parker (NPI# 1568466274, PAC ID# 2860527587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568466274 |
| PAC ID by PECOS | 2860527587 |
| Professional Enrollment ID | I20100319000839 |
| Full Name | Charles D Parker |
| Organization Legal Name | RIVER VALLEY PRIMARY CARE SERVICES |
| Address |
9755 W State Hwy 22 Ratcliff AR 72951-9000 |
| Phone Number | 4796355300 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042274276 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040062 | MERCY HOSPITAL FORT SMITH |
| 041300 | NORTH LOGAN MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9755 W State Hwy 22, Ratcliff, AR 72951-9000 | 4796355300 | RIVER VALLEY PRIMARY CARE SERVICES |
| Organization Legal Name | RIVER VALLEY PRIMARY CARE SERVICES |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wansley M Harrison | Clinical Social Worker | River Valley Primary Care Services | 421 N Main St, Mulberry, AR 72947-8574 |
| Ashley N Gattis | Nurse Practitioner | River Valley Primary Care Services | 708 W Main St, Clarksville, AR 72830-3411 |
| Janet E Guyer | Family Medicine | River Valley Primary Care Services | 4 Hwy 71 N E, Mountainburg, AR 72946 |
| Thinh D Nguyen | Family Medicine | River Valley Primary Care Services | 4003 Massard Rd, Fort Smith, AR 72903-6221 |
| Laurie S Fisher | Family Medicine | River Valley Primary Care Services | 635 Childers Ave, Lamar, AR 72846-8161 |
| Marie Pham-russell | Nurse Practitioner | River Valley Primary Care Services | 3202 N 6th St, Fort Smith, AR 72904-4164 |
| Nathan H Bennett | Internal Medicine | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Ronald D. Schlabach | Family Medicine | River Valley Primary Care Services | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 |
| Shawn S Miller | Family Medicine | River Valley Primary Care Services | 4003 Massard Rd, Fort Smith, AR 72903-6221 |
| Stephannie M Cawiezell | Nurse Practitioner | River Valley Primary Care Services | 635 Childers Ave, Lamar, AR 72846-8161 |
| Street Address |
9755 W STATE HWY 22 |
| City | RATCLIFF |
| State | AR |
| Zip | 72951-9000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan H Bennett | Internal Medicine | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Tracy R Harwood | Nurse Practitioner | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| April Revis | Nurse Practitioner | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| John B Jacobs | Family Practice | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Kelly J. Hubbard | Nurse Practitioner | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| James Saunders | Physician Assistant | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Catherine L Mustain | Physician Assistant | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| City | RATCLIFF |
| Zip Code | 72951 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RATCLIFF + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles D Parker.
| 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.