| Minimal Access Surgery Inc | |
|
705 Phillips Pl Huntsville AR 72740-6266 | |
| (479) 738-1700 | |
| Not Available |
| Full Name | Minimal Access Surgery Inc |
|---|---|
| Speciality | Surgery |
| Location | 705 Phillips Pl, Huntsville, Arkansas |
| Authorized Official Name and Position | John H Kendrick (PRESIDENT) |
| Authorized Official Contact | 4797381700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minimal Access Surgery Inc Po Box 6220 Springdale AR 72766-6220 Ph: (479) 738-1700 | Minimal Access Surgery Inc 705 Phillips Pl Huntsville AR 72740-6266 Ph: (479) 738-1700 |
| NPI Number | 1427151497 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 11/19/2025 |
| Medicare PECOS PAC ID | 1951295575 |
|---|---|
| Medicare Enrollment ID | O20040212000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427151497 | NPI | - | NPPES |
| 770302202 | Medicaid | AR | |
| 5C899 | Other | AR | BLUE CROSS/BLUE SHIELD |
| 150384002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | John H Kendrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902812019 PECOS PAC ID: 4082511738 Enrollment ID: I20031218000988 |
| Provider Name | Gina Ann Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295056687 PECOS PAC ID: 3274705157 Enrollment ID: I20111019000453 |
| Provider Name | Marie L Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558748657 PECOS PAC ID: 6608175567 Enrollment ID: I20160427000390 |
| Provider Name | Sasha L Kutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720514847 PECOS PAC ID: 3375815459 Enrollment ID: I20170824001213 |
| Provider Name | Iris L Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275024127 PECOS PAC ID: 1557617578 Enrollment ID: I20180705002385 |
| Provider Name | David Allen Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841767118 PECOS PAC ID: 6709123607 Enrollment ID: I20190131000821 |
Boston Mountain Rural Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 934 North Gaskill, Huntsville, AR 72740 Phone: 870-448-5733 | |
Boston Mountain Rural Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 934 N Gaskill St, Huntsville, AR 72740 Phone: 479-738-5500 Fax: 479-738-1350 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14558 Highway 412 Ste A, Huntsville, AR 72740 Phone: 479-351-0973 Fax: 479-351-0975 | |
Madison County Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Phillips Pl, Huntsville, AR 72740 Phone: 479-738-1700 Fax: 479-738-5510 | |
Boston Mountain Rural Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Polk St, Huntsville, AR 72740 Phone: 479-738-1583 Fax: 479-738-1350 |