Thomas Reinsvold (NPI# 1154367332, PAC ID# 8820060650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1154367332 |
| PAC ID by PECOS | 8820060650 |
| Professional Enrollment ID | I20100823000846 |
| Full Name | Thomas Reinsvold |
| Organization Legal Name | ST MARYS PHYSICIAN SERVICES LLC |
| Address |
2205 W Main St Cardiology Assoc of North Central Arkansas Russellville AR 72801-2759 |
| Phone Number | 4799684311 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4981698032 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040041 | ST MARYS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2205 W Main St, Cardiology Assoc of North Central Arkansas, Russellville, AR 72801-2759 | 4799684311 | ST MARYS PHYSICIAN SERVICES LLC |
| Organization Legal Name | ST MARYS PHYSICIAN SERVICES LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen C. Dobratz | Internal Medicine | St Marys Physician Services LLC | 2205 W Main St, Cardiology Assoc of North Central Arkansas, Russellville, AR 72801-2759 |
| James Albert Johnson | General Surgery | St Marys Physician Services LLC | 101 Skyline Dr, Russellville, AR 72801-3363 |
| Nathan R Henderson | Family Medicine | St Marys Physician Services LLC | 8970 Market St, Dover, AR 72837-9110 |
| Jody C Callaway | Obstetrics/gynecology | St Marys Physician Services LLC | 105 Skyline Dr, Russellville, AR 72801-3363 |
| Timothy Samuel Johnson | Family Medicine | St Marys Physician Services LLC | 1601 N Church St, Millard Henry Clinic, Atkins, AR 72823-3234 |
| Sara Damron | Nurse Practitioner | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Janet K Corbett | Family Medicine | St Marys Physician Services LLC | 101 Skyline Dr, Russellville, AR 72801-3363 |
| Jennifer Jacobs | Nurse Practitioner | St Marys Physician Services LLC | 1601 N Church St, Millard Henry Clinic, Atkins, AR 72823-3234 |
| Anthony C Davis | Neurology | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Noma W Kellner | Nurse Practitioner | St Marys Physician Services LLC | 101 Skyline Dr, Russellville, AR 72801-3363 |
| Street Address |
2205 W MAIN ST CARDIOLOGY ASSOC OF NORTH CENTRAL ARKANSAS |
| City | RUSSELLVILLE |
| State | AR |
| Zip | 72801-2759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen C. Dobratz | Internal Medicine | St Marys Physician Services LLC | 2205 W Main St, Cardiology Assoc of North Central Arkansas, Russellville, AR 72801-2759 |
| Venkata Prayaga | Cardiovascular Disease (cardiology) | St Marys Physician Services LLC | 2205 W Main St, Cardiology Assoc of North Central Arkansas, Russellville, AR 72801-2759 |
| Brittany Lasha Burris | Nurse Practitioner | St Marys Physician Services LLC | 2205 W Main St, Cardiology Assoc of North Central Arkansas, Russellville, AR 72801-2759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Anne Kersh | Registered Dietitian Or Nutrition Professional | 3205 W Main St, Russellville, AR 72801-2301 | |
| Melia R Robertson | Optometry | 3715 W Main St, Russellville, AR 72801-2311 | |
| Andrew M Monfee | Family Medicine | 3812 W Main St, Russellville, AR 72801-2314 | |
| Kenneth Gathright | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Ashley L Burnham | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Jim Lieblong | Optometry | 2800 W Main St, Russellville, AR 72801-2449 | |
| Stacey B Boster | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Karlee A Mater | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Jordyn S Dixon | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Darrell S Gray Jr. | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Find all physicians in zip 72801 | |||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | RUSSELLVILLE + INTERVENTIONAL CARDIOLOGY |
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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.