Jack A Greenan (NPI# 1639613979, PAC ID# 4981981206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1639613979 |
| PAC ID by PECOS | 4981981206 |
| Professional Enrollment ID | I20170515000698 |
| Full Name | Jack A Greenan |
| Organization Legal Name | MED SOUTHWEST PLLC |
| Address |
2510 N Hervey St Med Southwest Pllc Dba Texarkana E Hope AR 71801-8419 |
| Phone Number | 8707222200 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4082952874 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2510 N Hervey St, Med Southwest Pllc Dba Texarkana E, Hope, AR 71801-8419 | 8707222200 | MED SOUTHWEST PLLC |
| Organization Legal Name | MED SOUTHWEST PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Williams | Optometry | Med Southwest Pllc | 114 E 49th St, Med Southwest Pllc Dba Texarkana E, Texarkana, AR 71854-2117 |
| Thomas M Dvorak | Optometry | Med Southwest Pllc | 1606 S Jefferson Ave, Mt Pleasant, TX 75455-5614 |
| James S Simpson | Optometry | Med Southwest Pllc | 310 Thompson Ave, El Dorado, AR 71730-4569 |
| Clemit W Liles Iii | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
| Donald R Glenz | Optometry | Med Southwest Pllc | 6127 Fm 1960 Rd W, Houston, TX 77069-4106 |
| Brad R Aaron | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Nicholas Joseph Mccolley | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Clemit W Liles Jr. | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
| Elvin W Fenton | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Tiffaney J Tregellas | Optometry | Med Southwest Pllc | 8329 Whitley Rd, Watauga, TX 76148-2483 |
| Street Address |
2510 N HERVEY ST MED SOUTHWEST PLLC DBA TEXARKANA E |
| City | HOPE |
| State | AR |
| Zip | 71801-8419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Ann Mccracken | Optometry | Med Southwest Pllc | 2510 N Hervey St, Med Southwest Pllc Dba Texarkana E, Hope, AR 71801-8419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson A Hanson | Family Medicine | C H Wilkinson Physician Network | 805 Trinity Dr, Ctc Hope, Hope, AR 71801-3621 |
| Devin Shepard | Nurse Practitioner | C H Wilkinson Physician Network | 805 Trinity Dr, Ctc Hope, Hope, AR 71801-3621 |
| Laura R Douglas | Chiropractic | 908 S Main St, Hope, AR 71801-6525 | |
| Veronica Newburn | Physician Assistant | Access Medical Clinic Arkansas LLC | 405 W 16th St, Hope, AR 71801-7104 |
| Kirsten Kaye Cox | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 405 W 16th St, Hope, AR 71801-7104 |
| Leslie A Foster | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 405 W 16th St, Hope, AR 71801-7104 |
| Mary A Pugh | Family Medicine | Access Medical Clinic Arkansas LLC | 405 W 16th St, Hope, AR 71801-7104 |
| John W Knight | Physician Assistant | Access Medical Clinic Arkansas LLC | 405 W 16th St, Hope, AR 71801-7104 |
| Debra A Garrett | Nurse Practitioner | Physician Group of Arkansas, Inc. | 405 W 16th St, Hope, AR 71801-7104 |
| Rhonda M Mattox | Psychiatry | Tfs of Gurdon Inc | 1420 S Main St, Therapeutic Family Services, Hope, AR 71801-7243 |
| Find all physicians in zip 71801 | |||
| City | HOPE |
| Zip Code | 71801 |
| Specialty | OPTOMETRY |
| City + Specialty | HOPE + OPTOMETRY |
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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.