| John David Alston, MD | |
|
724 Deaver St, Springdale, AR 72764-5356 | |
| (479) 751-3202 | |
| (479) 756-2721 |
| Full Name | John David Alston |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 724 Deaver St, Springdale, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487664892 | NPI | - | NPPES |
| 105091001 | Medicaid | AR | |
| 100067000A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | C5752 (Arkansas) | Primary |
| Entity Name | Northwest Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194768721 PECOS PAC ID: 0244213213 Enrollment ID: O20040610000882 |
| Entity Name | Northwest Benton County Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505 |
| Entity Name | Siloam Springs Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013155431 PECOS PAC ID: 9032275318 Enrollment ID: O20090312000025 |
| Mailing Address | Practice Location Address |
|---|---|
| John David Alston, MD 3000 Medical Center Pkwy, Bentonville, AR 72712-3217 Ph: (479) 751-3202 | John David Alston, MD 724 Deaver St, Springdale, AR 72764-5356 Ph: (479) 751-3202 |
Dawn H Jones, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Parkway Cir, Springdale, AR 72762 Phone: 479-587-1700 Fax: 479-587-1366 | |
Dr. Guy Raoul Rosenschein, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762 Phone: 479-927-3100 Fax: 479-927-3131 | |
Sabina M Siddiqui, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6800 | |
Dr. Jeffrey Allen Swetnam, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3623 Johnson Mill Blvd Ste 203, Springdale, AR 72762 Phone: 479-966-4174 Fax: 479-301-5334 | |
Jerry S Dorman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 724 Deaver St, Springdale, AR 72764 Phone: 479-751-3202 Fax: 479-756-2721 | |
Robert A Petrino, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 706 A Quandt Ave, Springdale, AR 72764 Phone: 479-757-2030 Fax: 479-750-6236 |