| Empowerme Medical Group, Pc | |
|
16100 Chenal Valley Dr Little Rock AR 72223 | |
| (877) 367-9772 | |
| Not Available |
| Full Name | Empowerme Medical Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 16100 Chenal Valley Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | John David Church (VP OF CLINICAL STRATEGY) |
| Authorized Official Contact | 6189725228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerme Medical Group, Pc 1335 Strassner Dr Brentwood MO 63144-1872 Ph: (844) 502-7996 | Empowerme Medical Group, Pc 16100 Chenal Valley Dr Little Rock AR 72223 Ph: (877) 367-9772 |
| NPI Number | 1093494221 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 7214392059 |
|---|---|
| Medicare Enrollment ID | O20230911002605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093494221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Joseph Lee Mitchell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952669152 PECOS PAC ID: 5496981425 Enrollment ID: I20230911002890 |
| Provider Name | Chelsea Mary Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740714674 PECOS PAC ID: 7214207273 Enrollment ID: I20231102003615 |
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