| Minimal Access Surgery Inc | |
|
5230 Willow Creek Dr Suite 201 Springdale AR 72762-0876 | |
| (479) 927-3100 | |
| (479) 927-3131 |
| Full Name | Minimal Access Surgery Inc |
|---|---|
| Speciality | Surgery |
| Location | 5230 Willow Creek Dr, Springdale, Arkansas |
| Authorized Official Name and Position | John H Kendrick (PRESIDENT) |
| Authorized Official Contact | 4799273100 |
| 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) 927-3100 | Minimal Access Surgery Inc 5230 Willow Creek Dr Suite 201 Springdale AR 72762-0876 Ph: (479) 927-3100 |
| NPI Number | 1427151497 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 06/16/2025 |
| 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 |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 South Powell Street, Springdale, AR 72764 Phone: 479-750-8865 Fax: 479-751-2878 | |
Medexpress Primary Care Arkansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 S 40th St, Springdale, AR 72762 Phone: 479-756-1702 Fax: 479-756-1742 | |
Washington Regional Medical System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 N Shiloh St, Springdale, AR 72764 Phone: 479-419-9902 Fax: 479-419-9950 | |
Northwest Arkansas Clinic For Families, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 W Robinson Ave, Springdale, AR 72764 Phone: 479-751-8440 Fax: 479-751-8417 | |
Northwest Arkansas Hospitals Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2422 N Thompson St, Suite 104, Springdale, AR 72764 Phone: 479-757-4000 Fax: 479-757-2908 | |
Metro Springdale Treatment Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 W Sunset Ave, Ste B, Springdale, AR 72762 Phone: 479-725-2555 Fax: 479-725-2562 | |
Ozark Senior Healthcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 794-459-9004 Fax: 479-213-8142 |