| Dr Christopher Robin Clark, MD | |
|
609 W Maple Ave, Springdale, AR 72764-5335 | |
| (479) 757-5285 | |
| (479) 757-2977 |
| Full Name | Dr Christopher Robin Clark |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 609 W Maple Ave, Springdale, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669614871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-7642 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | E7642 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Mercy Hospital Berryville | Berryville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Northwest Arkansas Communities | 0648177873 | 296 |
| Entity Name | Mercy Hospital Berryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20040505000763 |
| Entity Name | Mercy Hospital Berryville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20061104000216 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699076737 PECOS PAC ID: 0648177873 Enrollment ID: O20110330000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Robin Clark, MD 601 W Maple Ave, Springdale, AR 72764-5335 Ph: (479) 757-5285 | Dr Christopher Robin Clark, MD 609 W Maple Ave, Springdale, AR 72764-5335 Ph: (479) 757-5285 |
Emily Lauren Ruppert, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6800 Fax: 479-725-6577 |