| Conway Medical Group | |
|
437 Denison St Conway AR 72034-6127 | |
| (501) 327-1325 | |
| (501) 327-1328 |
| Full Name | Conway Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 437 Denison St, Conway, Arkansas |
| Authorized Official Name and Position | William Pack (CFO) |
| Authorized Official Contact | 5014502112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Medical Group 437 Denison St Conway AR 72034-6127 Ph: (501) 327-1325 | Conway Medical Group 437 Denison St Conway AR 72034-6127 Ph: (501) 327-1325 |
| NPI Number | 1841200417 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3173428414 |
|---|---|
| Medicare Enrollment ID | O20040605000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841200417 | NPI | - | NPPES |
| 126827002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarah E Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649238262 PECOS PAC ID: 3870575467 Enrollment ID: I20040607000617 |
| Provider Name | Barry S Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669477469 PECOS PAC ID: 7113954082 Enrollment ID: I20050721000999 |
| Provider Name | Charles W Himmler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750349858 PECOS PAC ID: 5799713053 Enrollment ID: I20050728001023 |
| Provider Name | Blair Greenwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932137148 PECOS PAC ID: 4486685492 Enrollment ID: I20050829000846 |
| Provider Name | Kristy M Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578534012 PECOS PAC ID: 0547288102 Enrollment ID: I20051102001134 |
| Provider Name | Reda Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699763441 PECOS PAC ID: 3779687561 Enrollment ID: I20070404000196 |
| Provider Name | Gina L Mcnew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306060561 PECOS PAC ID: 1456452192 Enrollment ID: I20070724000737 |
| Provider Name | Greg Kendrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023059193 PECOS PAC ID: 8729040845 Enrollment ID: I20080404000497 |
| Provider Name | Robert W Balentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609927706 PECOS PAC ID: 9032297288 Enrollment ID: I20091009000500 |
| Provider Name | Keith Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295732816 PECOS PAC ID: 1658405212 Enrollment ID: I20100818000119 |
| Provider Name | Hongjiang Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902052863 PECOS PAC ID: 8123143229 Enrollment ID: I20100913001087 |
| Provider Name | Angela Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174847313 PECOS PAC ID: 7911188438 Enrollment ID: I20110216000793 |
| Provider Name | Darren S Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740442284 PECOS PAC ID: 6305021130 Enrollment ID: I20110421000089 |
| Provider Name | Jarrod P Jerry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407143662 PECOS PAC ID: 9032377221 Enrollment ID: I20120220000331 |
| Provider Name | Mohammad Idris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407086200 PECOS PAC ID: 4789833997 Enrollment ID: I20121003000809 |
| Provider Name | Jeffrey S Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134354293 PECOS PAC ID: 3476797739 Enrollment ID: I20130926000618 |
| Provider Name | James Richard Fulmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093030918 PECOS PAC ID: 8628211083 Enrollment ID: I20131021000785 |
| Provider Name | Jessica L Mcneese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770927121 PECOS PAC ID: 7315179348 Enrollment ID: I20140407000557 |
| Provider Name | Rhonda Kay Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700207339 PECOS PAC ID: 2466675467 Enrollment ID: I20140520001601 |
| Provider Name | Mandi L Mears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710220959 PECOS PAC ID: 4880817824 Enrollment ID: I20140521000240 |
| Provider Name | Ella Cathrine E Whaley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528386547 PECOS PAC ID: 8921229709 Enrollment ID: I20141020001961 |
| Provider Name | Natalie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912399452 PECOS PAC ID: 2163742263 Enrollment ID: I20150513000265 |
| Provider Name | Allison Tiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285094052 PECOS PAC ID: 6002115821 Enrollment ID: I20160429000610 |
| Provider Name | Meghan J Mallett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295193191 PECOS PAC ID: 4880993294 Enrollment ID: I20160505001045 |
| Provider Name | Lauren Blansett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649726845 PECOS PAC ID: 8820376429 Enrollment ID: I20161102002215 |
| Provider Name | Heather L Killough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720513658 PECOS PAC ID: 4082981246 Enrollment ID: I20170519000422 |
| Provider Name | Ashley N Gattis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932283 PECOS PAC ID: 1052331428 Enrollment ID: I20170712003756 |
| Provider Name | Macy A Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275932634 PECOS PAC ID: 0941571863 Enrollment ID: I20170810000949 |
| Provider Name | Kathryn N Deacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598289746 PECOS PAC ID: 5991078305 Enrollment ID: I20170907000539 |
| Provider Name | Katerina Lynn Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275040511 PECOS PAC ID: 0648530295 Enrollment ID: I20180131000403 |
| Provider Name | Krystal N Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053810101 PECOS PAC ID: 9830450527 Enrollment ID: I20180220001990 |
| Provider Name | Clark Trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538556634 PECOS PAC ID: 7416263959 Enrollment ID: I20180614002978 |
| Provider Name | Jamie D Trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477949238 PECOS PAC ID: 5597011288 Enrollment ID: I20180711001172 |
| Provider Name | Misty L Birdwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043549371 PECOS PAC ID: 6507193125 Enrollment ID: I20190806000213 |
| Provider Name | Lindsay Marie Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538796164 PECOS PAC ID: 3274955372 Enrollment ID: I20200618001134 |
| Provider Name | Steven A James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104319136 PECOS PAC ID: 3870928872 Enrollment ID: I20210729001675 |
| Provider Name | Danny Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114424736 PECOS PAC ID: 0840555272 Enrollment ID: I20210824001211 |
| Provider Name | Haylie Danielle Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366119752 PECOS PAC ID: 0143628925 Enrollment ID: I20211008000294 |
| Provider Name | Stephanie Rittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730851775 PECOS PAC ID: 4981093606 Enrollment ID: I20211117002281 |
| Provider Name | Ross T Lenzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497376453 PECOS PAC ID: 1254741705 Enrollment ID: I20220803003566 |
| Provider Name | Dylan Joshua Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922629666 PECOS PAC ID: 1850719535 Enrollment ID: I20230608003038 |
| Provider Name | Crystal Lynn Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629679279 PECOS PAC ID: 8022478957 Enrollment ID: I20230724002307 |
Access Family Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1505 Winterbrook Dr, Conway, AR 72034 Phone: 479-968-7930 | |
B A Scroggins, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1355 Dave Ward Dr Ste 101, Conway, AR 72034 Phone: 501-269-5105 | |
Advanced O & P Techniques, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Donaghey Ave, Conway, AR 72034 Phone: 501-548-6288 Fax: 501-513-1890 | |
Hull Family Eyecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1250 S Amity Rd, Conway, AR 72032 Phone: 479-856-9344 | |
Roy E Denton Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Robinson Ave, Conway, AR 72034 Phone: 501-932-3500 Fax: 501-932-3520 | |
Karl H. Landberg, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1375 Highway 64 W, Conway, AR 72032 Phone: 501-336-9620 Fax: 501-336-0018 | |
Job Jacob Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 965 Carson Cv Ste A, Conway, AR 72034 Phone: 501-513-2628 Fax: 501-513-2630 |