| John Michael Spore, MD | |
|
901 Burnett Dr, Mountain Home, AR 72653-2908 | |
| (870) 425-9120 | |
| (870) 424-4470 |
| Full Name | John Michael Spore |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 901 Burnett Dr, Mountain Home, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275540502 | NPI | - | NPPES |
| 115393001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | N7593 (Arkansas) | Primary |
| Entity Name | Healogics Specialty Physicians Of Arkansas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538561436 PECOS PAC ID: 9739405408 Enrollment ID: O20150225000284 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Spore, MD 901 Burnett Dr, Mountain Home, AR 72653-2908 Ph: (870) 425-9120 | John Michael Spore, MD 901 Burnett Dr, Mountain Home, AR 72653-2908 Ph: (870) 425-9120 |
Anastasios Mitsakos, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 | |
Dr. Louis Woodrow Elkins Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 628 Hospital Dr Ste 1-a, Mountain Home, AR 72653 Phone: 870-508-3200 Fax: 870-508-1359 | |
Nestor Arita, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 628 Hospital Dr, Mountain Home, AR 72653 Phone: 508-320-0708 | |
Adam G. Newman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 E 9th St, Mountain Home, AR 72653 Phone: 870-425-6398 Fax: 879-425-6402 | |
Kent Peter Nachtigal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 Fax: 870-424-4470 | |
Dr. Jennifer Foster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 |