Terry Alvin Sumpter (NPI# 1952345399, PAC ID# 6800865650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1952345399 |
| PAC ID by PECOS | 6800865650 |
| Professional Enrollment ID | I20060909000020 |
| Full Name | Terry Alvin Sumpter |
| Organization Legal Name | LIFELINC ANESTHESIA V, P.A. |
| Address |
303 W Polk Ave Suite A West Memphis AR 72301-4235 |
| Phone Number | 8707322100 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1980 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8921359712 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250093 | BOLIVAR MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6947 Crumpler Blvd, Suite 105, Olive Branch, MS 38654-1922 | 6628933306 | LIFELINC ANESTHESIA PLLC |
| 7600 Airways Blvd, Suite D, Southaven, MS 38671-5138 | 6625482190 | LIFELINC ANESTHESIA PLLC |
| 303 W Polk Ave, Suite A, West Memphis, AR 72301-4235 | 8707322100 | LIFELINC ANESTHESIA V, P.A. |
| Organization Legal Name | LIFELINC ANESTHESIA V, P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric W Callan | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia V, P.a. | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 |
| Street Address |
303 W POLK AVE SUITE A |
| City | WEST MEMPHIS |
| State | AR |
| Zip | 72301-4235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen E Bryant Jr. | Ophthalmology | 303 W Polk St, West Memphis, AR 72301 | |
| Mary E Tolleson | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Candace M Wright | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Kevin Holt | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Kelly M Key | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Beverly Anne Vaughn | Occupational Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Sharon B Goode | Speech Language Pathologist | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Oscar Ramos | Optometry | 798 W Service Rd, West Memphis, AR 72301-1727 | |
| Lydia Margarita Makapugay | Pathology | Poplar Healthcare Pllc | 260 Shoppingway Blvd, Suite 7, West Memphis, AR 72301-1736 |
| Devonda Yvonne Reimonenq | Clinical Social Worker | 310 Mid Continent Plz, Suite 400, West Memphis, AR 72301-1760 | |
| Find all physicians in zip 72301 | |||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WEST MEMPHIS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Terry Alvin Sumpter.
| 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.