Impact Health Services, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-10353 Issued in AR

Legal business name

IMPACT HEALTH SERVICES, PLLC

Doing business as

Nucor Arkansas Clinic

Practice address

5027 N County Road 1015
Blytheville, AR 72315-6951

Phone

(870) 824-6538

Fax

(870) 824-6545

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. William Neil McKee, MDNPI 1104810704

Title

Sole Owner

Phone

(731) 445-6684

Specialties & licenses 1

Addresses

Other names 1

• Nucor Arkansas Clinic Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16508/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• William Neil McKee, MD

  • Pulmonary Disease Physician
  • Dyersburg, TN
  • NPI 1104810704

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1629595566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 LANNOM DR",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242998",
            "telephone_number": "731-287-7647",
            "fax_number": "731-285-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 N COUNTY ROAD 1015",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723156951",
            "telephone_number": "870-824-6538",
            "fax_number": "870-824-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "731-445-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-10353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nucor Arkansas Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Houston, RN
• Barbara Howard
• Demetria Ann Hursey, MHPP
• Brandi Leigh Hurst, P.T.
• Jessica Lynn Hurst, P.T.
• Bradley Jackson, MHPP
• Lilly Mae Jackson, LMSW
• Marquase Jackson
• Karen Jo Jacobs, RN
• Saccari Jacobs

• Internal Medicine Physician in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.