| Apex Family Medical Clinic, P.a. | |
|
5206 Village Pkwy Ste 10 Rogers AR 72758-8137 | |
| (479) 631-2739 | |
| Not Available |
| Full Name | Apex Family Medical Clinic, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5206 Village Pkwy Ste 10, Rogers, Arkansas |
| Authorized Official Name and Position | Caleb Gaston (PRESIDENT) |
| Authorized Official Contact | 4796312739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apex Family Medical Clinic, P.a. 161 San Jose Dr Springdale AR 72764-2537 Ph: () - | Apex Family Medical Clinic, P.a. 5206 Village Pkwy Ste 10 Rogers AR 72758-8137 Ph: (479) 631-2739 |
| NPI Number | 1437409109 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 09/11/2012 |
| Medicare PECOS PAC ID | 3577717925 |
|---|---|
| Medicare Enrollment ID | O20130212000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437409109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dustin Pope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063547834 PECOS PAC ID: 2163505439 Enrollment ID: I20080208000449 |
| Provider Name | Caleb Oakes Gaston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164496105 PECOS PAC ID: 0648374942 Enrollment ID: I20100525000051 |
| Provider Name | Robert Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922041326 PECOS PAC ID: 7214120328 Enrollment ID: I20101021000769 |
| Provider Name | Nicole Carol Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679932321 PECOS PAC ID: 5890092027 Enrollment ID: I20160401000892 |
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