Jacksonville Emergency Medicine LLC
Organization Active NPI Emergency Medicine Physician · Jacksonville, AR
NPI 1093044166 · NPPES record last updated Dec 18, 2009
Key facts
- NPI
- 1093044166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- JACKSONVILLE EMERGENCY MEDICINE LLC
- Practice address
- 1400 Braden St
Jacksonville, AR 72076-3721 - Phone
- (501) 985-7000
- NPI assigned
- Dec 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Ruby Frederick Yates, MD
- Title
- President
- Phone
- (318) 256-0724
Practitioners 22
-
William B Baker III, M.D.
-
Timothy A Diller, M.D.
-
George Thompson Gray III, D.O.
-
Mark M Hemeyer, M.D.
-
Rex E Luttrell, M.D.
-
Khalid Rayaz, M.D
-
Zachary Gene Roe, M.D.
-
Bradley Dale Schulz, M.D.
-
Jeffrey Allen Summerhill, D.O.
-
John Edward Hughes, D.O.
-
Mark S Jorgensen, MD
-
Joshua Aaron McElderry, M.D.
-
Hamid Mumtaz, M.D.
-
Frederick Ketner Yates, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1400 Braden St
Jacksonville, AR 72076-3721
Mailing address
PO Box 11457
Daytona Beach, FL 32120-1457
Phone (386) 274-7800
Other providers in Jacksonville, AR
- Katherine Isenberg
- Rebecca Williams Jackson
- Sheryl Jackson
- Jacksonville Care Center, LLC
- Jacksonville Chiropractic P. a.
- Jacksonville North Pulaski School District
- Jacksonville Physical Therapy
- Jacksonville Smile Canter
- Jacksonville Vision Development Center PA
- Cearae Jamerson
All providers in Jacksonville, AR · Emergency Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.