Myra Flemister (NPI# 1982128096, PAC ID# 9032483755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1982128096 |
PAC ID by PECOS | 9032483755 |
Professional Enrollment ID | I20170919003630 |
Full Name | Myra Flemister |
Organization Legal Name | MAINLINE HEALTH SYSTEMS INC |
Address |
233 N Main St Portland AR 71663-9230 |
Phone Number | 8707372221 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5193785590 |
Number of Group Practice Members | 24 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
041323 | ASHLEY COUNTY MEDICAL CENTER |
041328 | CHICOT MEMORIAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
233 N Main St, Portland, AR 71663-9230 | 8707372221 | MAINLINE HEALTH SYSTEMS INC |
Organization Legal Name | MAINLINE HEALTH SYSTEMS INC |
Physicians | 31 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kendal L Noble | Nurse Practitioner | Mainline Health Systems Inc | 110 N Drew St, Star City, AR 71667-5704 |
Leah Williams | Nurse Practitioner | Mainline Health Systems Inc | 310 Ashley St, Star City, AR 71667-4814 |
April B Glasscock | Nurse Practitioner | Mainline Health Systems Inc | 535 Jordan Dr, Monticello, AR 71655-5714 |
Toni D Stephens | Nurse Practitioner | Mainline Health Systems Inc | 579 Beouff St, Eudora, AR 71640 |
Dana S Phillips | Nurse Practitioner | Mainline Health Systems Inc | 250 University Dr, Monticello, AR 71655-8891 |
Kimberly K Golden | Family Medicine | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
Amanda H Kelley | Clinical Social Worker | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
Lisa D Kilcrease | Clinical Social Worker | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
Rebekah Ayecock | Nurse Practitioner | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
Andre L Lewis | Clinical Social Worker | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
Street Address |
233 N MAIN ST |
City | PORTLAND |
State | AR |
Zip | 71663-9230 |
City | PORTLAND |
Zip Code | 71663 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PORTLAND + 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.