Lara Huffman (NPI# 1013987510, PAC ID# 3971785262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1013987510 |
PAC ID by PECOS | 3971785262 |
Professional Enrollment ID | I20130824000170 |
Full Name | Lara Huffman |
Organization Legal Name | PEMISCOT COUNTY MEMORIAL HOSPITAL |
Address |
106 W 12th St Caruthersville MO 63830-1890 |
Phone Number | 5733331782 |
Gender | F |
Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 8426024159 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
041330 | PIGGOTT COMMUNITY HOSPITAL |
260070 | PEMISCOT COUNTY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
106 W 12th St, Caruthersville, MO 63830-1890 | 5733331782 | PEMISCOT COUNTY MEMORIAL HOSPITAL |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 89% |
Organization Legal Name | PEMISCOT COUNTY MEMORIAL HOSPITAL |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
James W Bernard | Family Medicine | Pemiscot County Memorial Hospital | 106 W 12th St, Caruthersville, MO 63830-1890 |
John M Ricketts | Certified Registered Nurse Anesthetist (crna) | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
Stephen A Smith | Family Medicine | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
William M Steely | Podiatry | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
Ewane C Ngone | Family Medicine | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
Abdul N Naushad | Pain Management | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
Babatunde Oladiran | General Surgery | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
Street Address |
106 W 12TH ST |
City | CARUTHERSVILLE |
State | MO |
Zip | 63830-1890 |
Name | Specialty | Organization | Address |
---|---|---|---|
James W Bernard | Family Medicine | Pemiscot County Memorial Hospital | 106 W 12th St, Caruthersville, MO 63830-1890 |
Name | Specialty | Organization | Address |
---|---|---|---|
Justin M Schroeder | Optometry | 400 Ward Ave, Caruthersville, MO 63830-1451 | |
Allison L Whitener | Optometry | 400 Ward Ave, Caruthersville, MO 63830-1451 | |
Kristen S Culver | Optometry | T M Swinger and D V Mckillip, Ptr | 101 E 10th St A, Caruthersville, MO 63830-1919 |
Douglas J Mckillip | Optometry | T M Swinger and D V Mckillip, Ptr | 101 E 10th St A, Caruthersville, MO 63830-1919 |
Terrence M Swinger | Optometry | T M Swinger and D V Mckillip, Ptr | 101 E 10th St A, Caruthersville, MO 63830-1919 |
Angela Constant | Nurse Practitioner | Wt Regional Medical Associates | 108 W 15th St, West Tn Medical Group Primary Care Caruthersville, Caruthersville, MO 63830-2202 |
April Nicole Walker | Nurse Practitioner | Wt Regional Medical Associates | 108 W 15th St, West Tn Medical Group Primary Care Caruthersville, Caruthersville, MO 63830-2202 |
Douglas S Fitzwater | Pediatric Medicine | Dyersburg Clinic Corp | 108 W 15th St, Caruthersville Clinic, Caruthersville, MO 63830-2202 |
John Okechukwu Nwora | Family Medicine | 1117 Ward Ave, 25 Dr Nworas Medical Clinic, Caruthersville, MO 63830-2622 |
City | CARUTHERSVILLE |
Zip Code | 63830 |
Specialty | PSYCHIATRY |
City + Specialty | CARUTHERSVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Lara Huffman.
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.