Angel Vantine (NPI# 1992291520, PAC ID# 4183971047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992291520 |
| PAC ID by PECOS | 4183971047 |
| Professional Enrollment ID | I20180724000437 |
| Full Name | Angel Vantine |
| Organization Legal Name | EAST ARKANSAS EMERGENCY PHYSICIANS PLLC |
| Address |
1100 E Poplar St Johnson Regional Medical Center Clarksville AR 72830-4419 |
| Phone Number | 4797545454 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698909067 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041303 | MERCY HOSPITAL OZARK |
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 | 4797545454 | EAST ARKANSAS EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | EAST ARKANSAS EMERGENCY PHYSICIANS PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James B. Cotner | Family Medicine | East Arkansas Emergency Physicians Pllc | 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 |
| Barry Hendrix | Family Medicine | East Arkansas Emergency Physicians Pllc | 900 W Kings Hwy, Ar Methodist Medical Center, Paragould, AR 72450-5942 |
| Douglas E Carlson | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1520 N Division St, Great River Medical Center, Blytheville, AR 72315-1448 |
| Jeffrey K Bosold | Nurse Practitioner | East Arkansas Emergency Physicians Pllc | 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 |
| Nola Diane Hays | Nurse Practitioner | East Arkansas Emergency Physicians Pllc | 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 |
| Raymond S Fergus | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1520 N Division St, Great River Medical Center, Blytheville, AR 72315-1448 |
| George C Richison | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 |
| Nancy L Bruce | Nurse Practitioner | East Arkansas Emergency Physicians Pllc | 900 W Kings Hwy, Ar Methodist Medical Center, Paragould, AR 72450-5942 |
| Boomi T Nathan | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1520 N Division St, Blytheville, AR 72315-1448 |
| Michael Eugene Johnson | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1520 N Division St, Great River Medical Center, Blytheville, AR 72315-1448 |
| Street Address |
1100 E POPLAR ST JOHNSON REGIONAL MEDICAL CENTER |
| City | CLARKSVILLE |
| State | AR |
| Zip | 72830-4419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James B. Cotner | Family Medicine | East Arkansas Emergency Physicians Pllc | 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 |
| Jeffrey K Bosold | Nurse Practitioner | East Arkansas Emergency Physicians Pllc | 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 |
| Megan L Schroyer | Internal Medicine | Prime Physicians, LLC | 1100 E Poplar St, Clarksville, AR 72830-4419 |
| Nola Diane Hays | Nurse Practitioner | East Arkansas Emergency Physicians Pllc | 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 |
| Sarfarza N Hyder | Family Medicine | Prime Physicians, LLC | 1100 E Poplar St, Clarksville, AR 72830-4419 |
| George C Richison | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1100 E Poplar St, Johnson Regional Medical Center, Clarksville, AR 72830-4419 |
| Muhammad I Shakir | Internal Medicine | Prime Physicians, LLC | 1100 E Poplar St, Clarksville, AR 72830-4419 |
| David A Davis | Neurology | 1100 E Poplar St, Clarksville, AR 72830-4419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca King | Optometry | 210 W Main St, Clarksville, AR 72830-3019 | |
| Richard L Mcdougal | Ophthalmology | 709 W Main St, Clarksville, AR 72830-3410 | |
| Ashley N Gattis | Nurse Practitioner | River Valley Primary Care Services | 708 W Main St, Clarksville, AR 72830-3411 |
| Susan K Gateley | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Catherine S Miranda | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Mary Janell Burch | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Jess E Jordan | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| John C Dunham | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Sarah M Woodruff | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Consuella R Flurry | Physical Therapy | 112 S Fulton St, Clarksville, AR 72830-3612 | |
| Find all physicians in zip 72830 | |||
| City | CLARKSVILLE |
| Zip Code | 72830 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLARKSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angel Vantine.
| 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.