Glenda Marie King (NPI# 1740664226, PAC ID# 8729378013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740664226 |
| PAC ID by PECOS | 8729378013 |
| Professional Enrollment ID | I20170511000509 |
| Full Name | Glenda Marie King |
| Organization Legal Name | MERCY HOSPITAL BOONEVILLE |
| Address |
128 Daniel Dr Booneville AR 72927-4055 |
| Phone Number | 4796752455 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951530385 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041318 | MERCY HOSPITAL BOONEVILLE |
| 040062 | MERCY HOSPITAL FORT SMITH |
| Address | Phone | Organization |
|---|---|---|
| 128 Daniel Dr, Booneville, AR 72927-4055 | 4796752455 | MERCY HOSPITAL BOONEVILLE |
| 880 W Main, Booneville, AR 72927-3443 | 4796752800 | MERCY CLINIC FORT SMITH COMMUNITIES |
| 351 E Priddy St, Mercy Family Med Magazine, Magazine, AR 72943-8503 | 4799698640 | MERCY HOSPITAL BOONEVILLE |
| Organization Legal Name | MERCY HOSPITAL BOONEVILLE |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricio Jose Montiel Ii | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Julie E Greek | Nurse Practitioner | Mercy Hospital Booneville | 351 E Priddy St, Mercy Family Med Magazine, Magazine, AR 72943-8503 |
| Henry K Upchurch Jr. | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Chiricka E Orisakwe | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Michael S Miranda | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Kelli L Rippy | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Richard E Daily | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Street Address |
128 DANIEL DR |
| City | BOONEVILLE |
| State | AR |
| Zip | 72927-4055 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Hale | Chiropractic | 181 W 6th St, Booneville, AR 72927-0597 | |
| Anthony Vincent Ciaramitaro | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 871 W Main St, Booneville, AR 72927-3420 |
| Patricio Jose Montiel Ii | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Syed I Hamid | Internal Medicine | Mercy Clinic Fort Smith Communities | 880 W Main, Booneville, AR 72927-3443 |
| Henry K Upchurch Jr. | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Zachary T Tippin | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 880 W Main St, Booneville, AR 72927-3443 |
| Chiricka E Orisakwe | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Michael S Miranda | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Kelli L Rippy | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Richard E Daily | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Find all physicians in zip 72927 | |||
| City | BOONEVILLE |
| Zip Code | 72927 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOONEVILLE + NURSE PRACTITIONER |
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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.