Charles Cesare Jr. (NPI# 1144414707, PAC ID# 8426226192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1144414707 |
| PAC ID by PECOS | 8426226192 |
| Professional Enrollment ID | I20110725000123 |
| Full Name | Charles Cesare Jr. |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Address |
4802 E Johnson Ave Jonesboro AR 72401-8413 |
| Phone Number | 8709368000 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2961547526 |
| Number of Group Practice Members | 223 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 8709368000 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent A Davis | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 516 Industrial Park Dr, Trumann, AR 72472-9602 |
| Zuag Yang | Physician Assistant | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1111 Windover Rd, Nea Baptist Clinic Windover, Jonesboro, AR 72401-6159 |
| Ana Milosevic Michunovich | Physical Medicine and Rehabilitation | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Kimberly M Crosskno | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 616 W Keiser Ave, Nea Baptist Clinic Osceola, Osceola, AR 72370-3504 |
| Neal E Tice | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 909 Enterprise Dr, Nea Baptist Clinic, Jonesboro, AR 72401-9201 |
| Steven D Vanderbilt | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 2205 W Parker Rd, Nea Baptist Clinic Woodsprings, Jonesboro, AR 72404-7778 |
| Natalie N Martin | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 102 W Smith, Nea Baptist Clinic Brookland, Brookland, AR 72417-0248 |
| Jennifer L Crisp | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 |
| Garrett T Wray | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4700 W Kingshighway, Nea Baptist Clinic Paragould, Paragould, AR 72450-3465 |
| Meghan Lindsay Lyerly | Family Medicine | Northeast Arkansas Clinic Charitable Foundation, Inc. | 8170 Hwy 49 N, Brookland, AR 72417-8992 |
| Street Address |
4802 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip | 72401-8413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ana Milosevic Michunovich | Physical Medicine and Rehabilitation | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Mark Stripling | Obstetrics/gynecology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Brooke Nicole Pruitt | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Carie C Wells | Certified Clinical Nurse Specialist (cns) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Amy Stein | Qualified Audiologist | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Joseph W Hurston Jr. | General Surgery | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Homer E Brooks Iii | Geriatric Medicine | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Danny Lee Ricker | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Vijay Reddy | Pulmonary Disease | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Christopher Rowlett | Podiatry | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | JONESBORO + OBSTETRICS/GYNECOLOGY |
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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.