David Wayne Brooks (NPI# 1790861052, PAC ID# 5991749665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1790861052 |
| PAC ID by PECOS | 5991749665 |
| Professional Enrollment ID | I20070730000201 |
| Full Name | David Wayne Brooks |
| Organization Legal Name | JOHNSON REGIONAL MEDICAL CENTER |
| Address |
1100 E Poplar C Jrmc Provider Based Physicians Clarksville AR 72830-4419 |
| Phone Number | 4797545454 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 1658360284 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| 040062 | MERCY HOSPITAL FORT SMITH |
| Address | Phone | Organization |
|---|---|---|
| 1100 E Poplar C, Jrmc Provider Based Physicians, Clarksville, AR 72830-4419 | 4797545454 | JOHNSON REGIONAL MEDICAL CENTER |
| 3501 We Knight Dr, Fort Smith, AR 72903-6254 | 4797096700 | MERCY CLINIC FORT SMITH COMMUNITIES |
| 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 4793145175 | MERCY CLINIC FORT SMITH COMMUNITIES |
| Organization Legal Name | JOHNSON REGIONAL MEDICAL CENTER |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maranda Hickey | Nurse Practitioner | Johnson Regional Medical Center | 1100 E Poplar St A, Clarksville, AR 72830-4419 |
| Karen Michelle Branch | Nurse Practitioner | Johnson Regional Medical Center | 1100 E Poplar, Clarksville, AR 72830-4419 |
| Ma-ko Chen | Physical Medicine and Rehabilitation | Johnson Regional Medical Center | 1100 E Poplar C, Jrmc Provider Based Physicians, Clarksville, AR 72830-4419 |
| Jim L Clasen | Certified Registered Nurse Anesthetist (crna) | Johnson Regional Medical Center | 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419 |
| Joann Meyer | Ophthalmology | Johnson Regional Medical Center | 2 Medicine Dr, Clarksville, AR 72830-4431 |
| Rolando L Cheng | Orthopedic Surgery | Johnson Regional Medical Center | 1 Medicine Dr, Clarksville, AR 72830-4431 |
| Kevin Meyer | General Surgery | Johnson Regional Medical Center | 2 Medicine Dr, Clarksville, AR 72830-4431 |
| Kate Gazenko | General Surgery | Johnson Regional Medical Center | 2 Medicine Dr, Clarksville, AR 72830-4431 |
| Steven D Hill | Certified Registered Nurse Anesthetist (crna) | Johnson Regional Medical Center | 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419 |
| Manuel A Warrior Jr. | Certified Registered Nurse Anesthetist (crna) | Johnson Regional Medical Center | 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419 |
| Street Address |
1100 E POPLAR C JRMC PROVIDER BASED PHYSICIANS |
| City | CLARKSVILLE |
| State | AR |
| Zip | 72830-4419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ma-ko Chen | Physical Medicine and Rehabilitation | Johnson Regional Medical Center | 1100 E Poplar C, Jrmc Provider Based Physicians, 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 | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | CLARKSVILLE + PHYSICAL MEDICINE AND REHABILITATION |
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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.