| Jordan Matthew Walters, | |
|
550 Club Ln Ste 1, Conway, AR 72034-3681 | |
| (501) 329-1510 | |
| (501) 513-0478 |
| Full Name | Jordan Matthew Walters |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 9 Years |
| Location | 550 Club Ln Ste 1, Conway, 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 |
|---|---|---|---|
| 1124472410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | E-14425 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uams Medical Center | Little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conway Regional Medical Center Inc | 3173428414 | 133 |
| University Of Arkansas For Medical Sciences | 4082528955 | 1146 |
| Fands Physical Therapy, Inc | 7810898459 | 145 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Arkansas Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
| 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 |
|---|---|
| Jordan Matthew Walters, Po Box 9662, Conway, AR 72033-9662 Ph: (501) 852-1363 | Jordan Matthew Walters, 550 Club Ln Ste 1, Conway, AR 72034-3681 Ph: (501) 329-1510 |
Dr. Bryan T Head, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments 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 | |
Austin Axley Cole, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Ln, Conway, AR 72034 Phone: 501-329-1510 | |
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 |