| Mercy Health Northwest Arkansas Communities | |
|
5204 W Redbud St, Rogers, AR 72758-8936 | |
| (479) 636-0110 | |
| (479) 631-0491 |
| Full Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Type | Facility |
| Speciality | Otolaryngology |
| Location | 5204 W Redbud St, Rogers, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508167677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| Provider Name | Douglas J Gottschalk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598724619 PECOS PAC ID: 4688640972 Enrollment ID: I20040908000810 |
| Provider Name | Randall W Black |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942268909 PECOS PAC ID: 9335226778 Enrollment ID: I20080409000248 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154389344 PECOS PAC ID: 1456439322 Enrollment ID: I20080417000077 |
| Provider Name | Elizabeth G Bowden |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649438136 PECOS PAC ID: 8022173871 Enrollment ID: I20090211000712 |
| Provider Name | Janean D Woods |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679803688 PECOS PAC ID: 3971732728 Enrollment ID: I20140128000445 |
| Provider Name | Lori E Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700189701 PECOS PAC ID: 7416187356 Enrollment ID: I20140220001209 |
| Provider Name | Jeffrey Allen Myhill |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326200775 PECOS PAC ID: 6608095062 Enrollment ID: I20140917000228 |
| Provider Name | Chad Wayne Putman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184745150 PECOS PAC ID: 3779635479 Enrollment ID: I20160728000570 |
| Provider Name | Lara Jenkins Shepherd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902121874 PECOS PAC ID: 3173894466 Enrollment ID: I20170804000898 |
| Provider Name | Cory A Vaughn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821417833 PECOS PAC ID: 5890011399 Enrollment ID: I20190705000943 |
| Provider Name | Elizabeth Muller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316157142 PECOS PAC ID: 4981877552 Enrollment ID: I20200309001381 |
| Provider Name | Del Sloneker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871855650 PECOS PAC ID: 3476850637 Enrollment ID: I20210630001438 |
| Provider Name | Matt Thomas Solverson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437670288 PECOS PAC ID: 1557635745 Enrollment ID: I20220726003655 |
| Provider Name | Matthew Bridges |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134688286 PECOS PAC ID: 2264766401 Enrollment ID: I20240812004303 |
| Provider Name | Edouard Oudin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295396323 PECOS PAC ID: 8426383654 Enrollment ID: I20240814002261 |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Northwest Arkansas Communities 5204 W Redbud St, Rogers, AR 72758-8936 Ph: (479) 636-0110 | Mercy Health Northwest Arkansas Communities 5204 W Redbud St, Rogers, AR 72758-8936 Ph: (479) 636-0110 |