Individual
JOHN E HEARNSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 MEDICAL CIR STE 200, NASHVILLE, AR 71852-8608
(870) 845-8914
(870) 845-8910
Mailing address
132 MEDICAL CIR STE 200, NASHVILLE, AR 71852-8608
(870) 845-8914
(870) 845-8910
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C 4722
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102674001
—
AR
01
—
15288000001
QUAL CHOICE
AR
01
—
52291
ARKANSAS BLUE CROSS BLUE
AR
01
—
770351101
ARKANSAS BREAST CARE
AR
01
—
P00076358
RAIL ROAD MEDICARE
AR
Enumeration date
06/16/2005
Last updated
12/18/2019
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