| Healogics Specialty Physicians Of Arkansas, Pllc | |
|
3017 N Bob Younkin Dr Ste 102 Fayetteville AR 72703-3927 | |
| (479) 463-4325 | |
| (479) 463-2322 |
| Full Name | Healogics Specialty Physicians Of Arkansas, Pllc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 3017 N Bob Younkin Dr Ste 102, Fayetteville, Arkansas |
| Authorized Official Name and Position | Frank Williams (CEO) |
| Authorized Official Contact | 9044463519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healogics Specialty Physicians Of Arkansas, Pllc 5220 Belfort Rd Ste 130 Jacksonville FL 32256-6018 Ph: (904) 446-3471 | Healogics Specialty Physicians Of Arkansas, Pllc 3017 N Bob Younkin Dr Ste 102 Fayetteville AR 72703-3927 Ph: (479) 463-4325 |
| NPI Number | 1538561436 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 9739405408 |
|---|---|
| Medicare Enrollment ID | O20150225000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538561436 | NPI | - | NPPES |
| 214627002 | Medicaid | AR |
| Provider Name | Bernadette A Alberty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952315152 PECOS PAC ID: 3971493560 Enrollment ID: I20040317001164 |
| Provider Name | James I Cagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679570642 PECOS PAC ID: 1850373556 Enrollment ID: I20040605000301 |
| Provider Name | Rodney M Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174508386 PECOS PAC ID: 9739164682 Enrollment ID: I20040623001020 |
| Provider Name | Regina R Hudec |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558385260 PECOS PAC ID: 4486624343 Enrollment ID: I20040728000760 |
| Provider Name | Kenneth C Prather |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023086931 PECOS PAC ID: 7911082698 Enrollment ID: I20080305000140 |
| Provider Name | Kelly C Crowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942446810 PECOS PAC ID: 9830266238 Enrollment ID: I20080926000615 |
| Provider Name | Jan Ryszkowski |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1134304512 PECOS PAC ID: 3577622604 Enrollment ID: I20081104000806 |
| Provider Name | Stacey Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972605699 PECOS PAC ID: 3375644313 Enrollment ID: I20091105000049 |
| Provider Name | John M Spore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275540502 PECOS PAC ID: 5890891451 Enrollment ID: I20100824000445 |
| Provider Name | Jessica A Milam |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114287802 PECOS PAC ID: 5193980720 Enrollment ID: I20120706000084 |
| Provider Name | Franklin E Mayhue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669428421 PECOS PAC ID: 2668530882 Enrollment ID: I20140910000406 |
| Provider Name | Landon D Humphrey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649447806 PECOS PAC ID: 0840508602 Enrollment ID: I20150929001572 |
| Provider Name | Lynnette Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922361740 PECOS PAC ID: 1052633591 Enrollment ID: I20151007001171 |
| Provider Name | Alissa Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992181051 PECOS PAC ID: 8426367897 Enrollment ID: I20151026001945 |
| Provider Name | Bradley A Pontani |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1306800412 PECOS PAC ID: 7911002928 Enrollment ID: I20160104000927 |
| Provider Name | Kimberly Lane Atwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330065 PECOS PAC ID: 8022399138 Enrollment ID: I20170104001094 |
| Provider Name | Teresa Lynn Roseberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740730290 PECOS PAC ID: 8123309150 Enrollment ID: I20170105000033 |
| Provider Name | Stephen Rohrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538611975 PECOS PAC ID: 2769767805 Enrollment ID: I20170403000062 |
| Provider Name | Robert P Shackelford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578633236 PECOS PAC ID: 1254386469 Enrollment ID: I20180730001357 |
| Provider Name | Lesli Don Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831635093 PECOS PAC ID: 9234465337 Enrollment ID: I20190726002823 |
| Provider Name | Freddie K Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407472020 PECOS PAC ID: 1254740004 Enrollment ID: I20210506001328 |
| Provider Name | Tammy Renee Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891259651 PECOS PAC ID: 4284034331 Enrollment ID: I20210611001343 |
| Provider Name | Brittany Elizabeth Mauldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487329843 PECOS PAC ID: 7315334992 Enrollment ID: I20220429000197 |
| Provider Name | Thomas Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396273173 PECOS PAC ID: 2567712904 Enrollment ID: I20220729000032 |
| Provider Name | Constance Leeann Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215222336 PECOS PAC ID: 6901250257 Enrollment ID: I20230920004115 |
Community Clinic Fayetteville Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3162 W Martin Luther King Blvd, Suites 13 & 14, Fayetteville, AR 72704 Phone: 479-935-4834 Fax: 479-751-2878 | |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Bryan Abernathy Md Pa Dba Abernathy Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1806 N Crossover Rd, Suite 4, Fayetteville, AR 72701 Phone: 479-521-5603 Fax: 479-521-5773 | |
Truhealth Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703 Phone: 479-527-9966 Fax: 479-527-9677 | |
Washington County Hiv Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3270 N. Wimberly Drive, Fayetteville, AR 72703 Phone: 479-973-8450 Fax: 479-973-8452 | |
Arcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |
Dr James Dunn Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4368 E Churchill Dr, Fayetteville, AR 72701 Phone: 479-442-4553 Fax: 479-251-1006 |