Michael G Kemp (NPI# 1215926688, PAC ID# 4688693930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1215926688 |
| PAC ID by PECOS | 4688693930 |
| Professional Enrollment ID | I20051115001134 |
| Full Name | Michael G Kemp |
| Organization Legal Name | RIVER VALLEY PRIMARY CARE SERVICES, INC |
| Address |
421 N Main St Mulberry AR 72947-8574 |
| Phone Number | 4799971484 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0042274276 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040062 | MERCY HOSPITAL FORT SMITH |
| Address | Phone | Organization |
|---|---|---|
| 421 N Main St, Mulberry, AR 72947-8574 | 4799971484 | RIVER VALLEY PRIMARY CARE SERVICES, INC |
| Organization Legal Name | RIVER VALLEY PRIMARY CARE SERVICES, INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Ann Henson | Nurse Practitioner | River Valley Primary Care Services, Inc | 3202 N 6th St, Fort Smith, AR 72904-4164 |
| 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 |
| Street Address |
421 N MAIN ST |
| City | MULBERRY |
| State | AR |
| Zip | 72947-8574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wansley M Harrison | Clinical Social Worker | River Valley Primary Care Services | 421 N Main St, Mulberry, AR 72947-8574 |
| Michael L Guyer | Family Medicine | River Valley Primary Care Services | 421 N Main St, Mulberry, AR 72947-8574 |
| City | MULBERRY |
| Zip Code | 72947 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MULBERRY + FAMILY PRACTICE |
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| 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.