Jacob Edathara Abraham (NPI# 1184627226, PAC ID# 5092779819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1184627226 |
| PAC ID by PECOS | 5092779819 |
| Professional Enrollment ID | I20041112000039 |
| Full Name | Jacob Edathara Abraham |
| Organization Legal Name | HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT |
| Address |
1010 Arkansas Blvd Texarkana AR 71854-2204 |
| Phone Number | 5013214772 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1990 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 8527158880 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040026 | ST VINCENT HOT SPRINGS |
| 450200 | WADLEY REGIONAL MEDICAL CENTER |
| 040076 | BAPTIST HEALTH MEDICAL CENTER-HOT SPRINGS COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 | 5013214772 | HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT |
| 1010 Arkansas Blvd, Texarkana, AR 71854-2204 | 5013214772 | HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT |
| Organization Legal Name | HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Obinna C Emechebe-kennedy | Pain Management | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Christopher A Jarvis | Nurse Practitioner | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Peggy Wren | Nurse Practitioner | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Kikanwa G Osih | Nurse Practitioner | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Amanda J Rogers | Nurse Practitioner | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Ronald E Harbut | Anesthesiology | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Marylie Buckoski | Nurse Practitioner | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Mohammed Imran Khan | Physical Medicine and Rehabilitation | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Sharon M England | Nurse Practitioner | Hot Springs Interventional Pain Management | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6440 |
| Street Address |
1010 ARKANSAS BLVD |
| City | TEXARKANA |
| State | AR |
| Zip | 71854-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kizer Contrel Neal | Clinical Social Worker | 4613 Pkwy Dr, Suite 5, Texarkana, AR 71854-1142 | |
| Kyle Diaz | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Matthew W Nix | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Mylene Crouthamel | Nurse Practitioner | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Sondra G Bedwell | Nurse Practitioner | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Russell E Mayo | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Cheryl K Verma | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Michael R Downs | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Porscha Nicole Branch | Nurse Practitioner | East Texas Border Health Clinic | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Kathryn E Brannan | Nurse Practitioner | C H Wilkinson Physician Network | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Find all physicians in zip 71854 | |||
| City | TEXARKANA |
| Zip Code | 71854 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | TEXARKANA + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Jacob Edathara Abraham.
| 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.