Richard Justiss (NPI# 1982631313, PAC ID# 6002726726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982631313 |
| PAC ID by PECOS | 6002726726 |
| Professional Enrollment ID | I20100715000902 |
| Full Name | Richard Justiss |
| Organization Legal Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| Address |
1222 W 42nd Ave Pine Bluff AR 71603-7109 |
| Phone Number | 8705351819 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082528955 |
| Number of Group Practice Members | 994 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040071 | JEFFERSON REGIONAL MEDICAL CENTER |
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 1222 W 42nd Ave, Pine Bluff, AR 71603-7109 | 8705351819 | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| Organization Legal Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| Physicians | 1176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela M Mize | Nurse Practitioner | University of Arkansas for Medical Sciences | 1993 Harrison St, Batesville, AR 72501-7309 |
| Mark B Ellis | Occupational Therapy | University of Arkansas for Medical Sciences | 4301 W Markam St, Little Rock, AR 72205-7101 |
| Dustin E Williford | Pediatric Medicine | University of Arkansas for Medical Sciences | 1 Childrens Way, Suite 653, Little Rock, AR 72202-3571 |
| Heather K Vaughn | Physical Therapy | University of Arkansas for Medical Sciences | 1125 N College Ave, Fayetteville, AR 72703-1908 |
| Kyle Diaz | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Lou A Eads | Psychiatry | University of Arkansas for Medical Sciences | 3001 W Roosevelt Rd, Pulaski County Crisis Stabilization, Little Rock, AR 72204-5658 |
| Mimo R Lemdja | Family Medicine | University of Arkansas for Medical Sciences | 1617 N Washington, Magnolia, AR 71753-2046 |
| Jon Rubenow | Psychiatry | University of Arkansas for Medical Sciences | 4224 Shuffield Dr, Uams Cast, Little Rock, AR 72205-7101 |
| Muthu K Veeraputhiran | Medical Oncology | University of Arkansas for Medical Sciences | 4301 W Markham St, 783 Medical College Physicians Group, Little Rock, AR 72205-7101 |
| Bryan Holland Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Street Address |
1222 W 42ND AVE |
| City | PINE BLUFF |
| State | AR |
| Zip | 71603-7109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mervin D Terrell | Geriatric Medicine | University of Arkansas for Medical Sciences | 1222 W 42nd Ave, Pine Bluff, AR 71603-7109 |
| James Lindsey | Family Practice | University of Arkansas for Medical Sciences | 1222 W 42nd Ave, Pine Bluff, AR 71603-7109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo E Lim | Diagnostic Radiology | Pine Bluff Radiologists, Ltd | 1801 W 40th St, Pine Bluff, AR 71603 |
| Syed A Samad | Gastroenterology | Digestive Care P A | 4800 Hazel St, Pine Bluff, AR 71603-2797 |
| Cyrus Tamboli | Gastroenterology | Digestive Care P A | 4800 Hazel St, Pine Bluff, AR 71603-2797 |
| Denise Jarrett | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Bessie Lancelin | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Abeer Washington | Psychiatry | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Diane C. Boyd | Nurse Practitioner | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Joyce A Walker | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Terrell P Bishop | Psychiatry | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Cynthia G Slaughter | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Find all physicians in zip 71603 | |||
| City | PINE BLUFF |
| Zip Code | 71603 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PINE BLUFF + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard Justiss.
| 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.