| Nicole M. Scally Md Pa | |
|
2000 S Promenade Blvd Suite 202 Rogers AR 72758-9073 | |
| (479) 282-2737 | |
| (479) 316-4072 |
| Full Name | Nicole M. Scally Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 S Promenade Blvd, Rogers, Arkansas |
| Authorized Official Name and Position | Nicole Scally (CHAIRMAN/PRESIDENT/SECRETARY) |
| Authorized Official Contact | 4792822737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole M. Scally Md Pa 2000 S Promenade Blvd Suite 202 Rogers AR 72758-9073 Ph: (479) 282-2737 | Nicole M. Scally Md Pa 2000 S Promenade Blvd Suite 202 Rogers AR 72758-9073 Ph: (479) 282-2737 |
| NPI Number | 1891186193 |
|---|---|
| Provider Enumeration Date | 02/09/2015 |
| Last Update Date | 03/11/2016 |
| Medicare PECOS PAC ID | 8527368570 |
|---|---|
| Medicare Enrollment ID | O20151124001989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891186193 | NPI | - | NPPES |
| 211449002 | Medicaid | AR | |
| 176772001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MC-3081 (Arkansas) | Primary |
| Provider Name | Nicole M Scally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760521777 PECOS PAC ID: 9234286519 Enrollment ID: I20090403000104 |
| Provider Name | Rebecca Marie Padley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710229059 PECOS PAC ID: 7911218862 Enrollment ID: I20160628001254 |
| Provider Name | Michelle Elizabeth Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447603808 PECOS PAC ID: 9638464563 Enrollment ID: I20160817000666 |
| Provider Name | Sharon H Shin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528432390 PECOS PAC ID: 9830460369 Enrollment ID: I20170802001236 |
| Provider Name | Abigail D Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679710768 PECOS PAC ID: 8325188279 Enrollment ID: I20220601000281 |
| Provider Name | Brittany N Maier-hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245093608 PECOS PAC ID: 8820515455 Enrollment ID: I20250507002669 |
| Provider Name | Lydia C Flikkema |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821843764 PECOS PAC ID: 0941728588 Enrollment ID: I20250516002108 |
Ehc Mjp Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5102 W Pauline Whitaker Pkwy Ste 121, Rogers, AR 72758 Phone: 479-278-2753 | |
Wound Solutions Of Nwa, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Halsted Cir Ste 2b, Rogers, AR 72756 Phone: 870-898-0088 | |
Glomar Medical Nwa Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4305 S Pleasant Crossing Blvd Ste 103, Rogers, AR 72758 Phone: 800-511-2747 Fax: 501-255-9109 | |
Family Health & Wellness, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2877 W Walnut St Ste 103, Rogers, AR 72756 Phone: 479-372-4030 Fax: 479-372-4031 | |
Sgoh Acquisition Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Russell Road, Rogers, AR 72756 Phone: 479-278-7189 Fax: 479-278-2199 | |
Stuart J. Benson, D.o., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 S 52nd St, Suite 201, Rogers, AR 72758 Phone: 479-319-6009 Fax: 479-319-6002 | |
Melloy Concierge And Aesthetics Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S 20th St Ste C, Rogers, AR 72758 Phone: 479-278-7010 Fax: 479-974-2009 |