Richard Boardman (NPI# 1508049750, PAC ID# 4880989797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1508049750 |
| PAC ID by PECOS | 4880989797 |
| Professional Enrollment ID | I20160817000059 |
| Full Name | Richard Boardman |
| Organization Legal Name | BOARDMAN SPEECH PATHOLOGY INC |
| Address |
129 E Poplar St Home Office Clarksville AR 72830-4212 |
| Phone Number | 4794623528 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 3971898883 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 129 E Poplar St, Home Office, Clarksville, AR 72830-4212 | 4794623528 | BOARDMAN SPEECH PATHOLOGY INC |
| 129 E Poplar St, Clarksville, AR 72830-4212 | 4794623528 | BOARDMAN SPEECH PATHOLOGY INC |
| Organization Legal Name | BOARDMAN SPEECH PATHOLOGY INC |
| Physicians | 1 |
| Street Address |
129 E POPLAR ST HOME OFFICE |
| City | CLARKSVILLE |
| State | AR |
| Zip | 72830-4212 |
| 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 | SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | CLARKSVILLE + SPEECH LANGUAGE PATHOLOGIST |
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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.