| Austin Axley Cole, MD | |
|
550 Club Ln, Conway, AR 72034-3681 | |
| (501) 329-1510 | |
| Not Available |
| Full Name | Austin Axley Cole |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 550 Club Ln, Conway, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093209090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 94-11281 (Kansas) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | E-18048 (Arkansas) | Primary |
| Entity Name | Conway Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174092217 PECOS PAC ID: 3173428414 Enrollment ID: O20200317000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Axley Cole, MD 5760 Grand Teton Ln, Conway, AR 72034-7623 Ph: (864) 867-8111 | Austin Axley Cole, MD 550 Club Ln, Conway, AR 72034-3681 Ph: (501) 329-1510 |
Dr. Bryan T Head, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 550 Club Ln Ste 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-329-5697 | |
Mr. Robert F Mccarron, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Lane, Suite 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-329-5697 | |
Dr. James T Howell Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Lane, Suite 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-327-2495 | |
Jordan Matthew Walters, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Ln Ste 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-513-0478 | |
Dr. Harry Scott Smith, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Lane, Suite 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-329-5697 | |
James Head, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Ln, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-329-5697 |