Robert Frederick Noonan Jr MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROBERT FREDERICK NOONAN JR MD PA

Doing business as

Clarksville Family Medical Center

Practice address

25 Professional Park Dr
Clarksville, AR 72830-4432

Phone

(479) 705-8181

Fax

(479) 705-0041

NPI assigned

Mar 21, 2006

Last updated

Jun 27, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Noonan, M.D.NPI 1902867070

Title

Owner

Phone

(479) 705-8181

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CLARKSVILLE FAMILY MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert F Noonan, M.D.

  • Family Medicine Physician
  • Clarksville, AR
  • NPI 1902867070
  Medicare reassignment Care Compare group NPD Authorized official
• Sasha Renae Domerese, NP-C

  • Nurse Practitioner
  • Clarksville, AR
  • NPI 1861956922
  Medicare reassignment Care Compare group NPD
• Katie Elizabeth Dunkel, APN

  • Family Nurse Practitioner
  • Clarksville, AR
  • NPI 1447485727
  Medicare reassignment Care Compare group NPD
• Sydni Gibbs

  • Family Nurse Practitioner
  • Clarksville, AR
  • NPI 1518505833
  Medicare reassignment Care Compare group NPD
• Jesalyn Dove Wilson, PA-C

  • Physician Assistant
  • Clarksville, AR
  • NPI 1205226925
  Medicare reassignment Care Compare group
• Haley Duff, APRN

  • Family Nurse Practitioner
  • Lamar, AR
  • NPI 1396304697
  Medicare reassignment NPD
• Stephanie Metcalf, APN

  • Family Nurse Practitioner
  • Clarksville, AR
  • NPI 1619297801
  Medicare reassignment NPD
• James Brian Cotner, MD

  • Family Medicine Physician
  • Clarksville, AR
  • NPI 1164482162
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1477512127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PROFESSIONAL PARK DR",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304432",
            "telephone_number": "479-705-8181",
            "fax_number": "479-705-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PROFESSIONAL PARK DR",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304432",
            "telephone_number": "479-705-8181",
            "fax_number": "479-705-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT FREDERICK NOONAN JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-705-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139044002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5F726",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARKSVILLE FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonja Rigsby, CMP
• Emma Rinard
• River Valley Counseling and Therapy, PA
• River Valley Primary Care Services (Clarksville Community Health Center)
• River Valley Primary Care Services (Clarksville Behavioral Health)
• Robert P. Smith, D.D.S
• Robert Terry Kerbs, L.L.C. (Archway Chiropractic Clinic)
• Brittany Rodriguez, RECOVERY ASSISTANT
• Jodi Lynn Rodriguez, LPC
• Robert Sterling Rogers, MHPP

• Family Medicine Physician in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.