Mylene Crouthamel (NPI# 1255790135, PAC ID# 6103115647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255790135 |
| PAC ID by PECOS | 6103115647 |
| Professional Enrollment ID | I20160523001265 |
| Full Name | Mylene Crouthamel |
| Organization Legal Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| Address |
3417 U of A Way Ahec Southwest Family Practice Clinic Texarkana AR 71854-1419 |
| Phone Number | 8707796000 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082528955 |
| Number of Group Practice Members | 994 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450801 | CHRISTUS ST MICHAEL HEALTH SYSTEM |
| 450200 | WADLEY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 E 6th St, Texarkana, AR 71854-5207 | 8707796000 | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 | 8707796000 | 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 |
| Richard Justiss | Family Medicine | University of Arkansas for Medical Sciences | 1222 W 42nd Ave, Pine Bluff, AR 71603-7109 |
| 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 |
| Street Address |
3417 U OF A WAY AHEC SOUTHWEST FAMILY PRACTICE CLINIC |
| City | TEXARKANA |
| State | AR |
| Zip | 71854-1419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kizer Contrel Neal | Clinical Social Worker | 4613 Pkwy Dr, Suite 5, Texarkana, AR 71854-1142 | |
| 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 |
| Deanna Robin Padgett | Nurse Practitioner | Quapaw House Inc | 4323 Jefferson Ave, Texarkana, AR 71854-1515 |
| Jody A Barham | Nurse Practitioner | Preferred Family Healthcare Inc | 4323 Jefferson Ave, Texarkana, AR 71854-1515 |
| Matthew Wayne Brandon | Nurse Practitioner | Ark-la-tex Health Center Pa | 1414 Arkansas Blvd, Texarkana, AR 71854-1604 |
| James D Raker | Chiropractic | Ark-la-tex Health Center Pa | 1414 Arkansas Blvd, Texarkana, AR 71854-1604 |
| Paul D Baker | Chiropractic | 204 Arkansas Blvd, Texarkana, AR 71854-1904 | |
| Bruce Edward Whitwell | Physician Assistant | Healthcare Express LLP | 125 Arkansas Blvd, Texarkana, AR 71854-1963 |
| Jessica Laurin Zimmer | Nurse Practitioner | Healthcare Express LLP | 125 Arkansas Blvd, Texarkana, AR 71854-1963 |
| Find all physicians in zip 71854 | |||
| City | TEXARKANA |
| Zip Code | 71854 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TEXARKANA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mylene Crouthamel.
| 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.