| Northwest Arkansas Hbp Services Llc | |
|
1580 E Centerton Blvd Bentonville AR 72712-4836 | |
| (479) 553-2150 | |
| (479) 795-1851 |
| Full Name | Northwest Arkansas Hbp Services Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1580 E Centerton Blvd, Bentonville, Arkansas |
| Authorized Official Name and Position | Kristina Music (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Arkansas Hbp Services Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-3334 | Northwest Arkansas Hbp Services Llc 1580 E Centerton Blvd Bentonville AR 72712-4836 Ph: (479) 553-2150 |
| NPI Number | 1174285373 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 03/19/2025 |
| Medicare PECOS PAC ID | 6507258837 |
|---|---|
| Medicare Enrollment ID | O20220119001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174285373 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20040624000607 |
| Provider Name | Byron Garibaldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376550640 PECOS PAC ID: 8325026354 Enrollment ID: I20040707001494 |
| Provider Name | Peter H Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356439681 PECOS PAC ID: 1254385362 Enrollment ID: I20050310000555 |
| Provider Name | James Russell Holden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346257623 PECOS PAC ID: 3072559822 Enrollment ID: I20050630001153 |
| Provider Name | Timothy S Harton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215937537 PECOS PAC ID: 3870513542 Enrollment ID: I20051128000433 |
| Provider Name | David Greengart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134172901 PECOS PAC ID: 8921021163 Enrollment ID: I20060126000790 |
| Provider Name | David Ureckis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386687978 PECOS PAC ID: 9739287947 Enrollment ID: I20070612000748 |
| Provider Name | John M Rayburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346275302 PECOS PAC ID: 9638151616 Enrollment ID: I20080729000755 |
| Provider Name | Marjorie Antenor Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902038375 PECOS PAC ID: 8729247374 Enrollment ID: I20120316000696 |
| Provider Name | Garrick Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487881439 PECOS PAC ID: 9234315409 Enrollment ID: I20120518000522 |
| Provider Name | Russell Van Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184933145 PECOS PAC ID: 0749444784 Enrollment ID: I20120604000267 |
| Provider Name | Travis Bowen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467629790 PECOS PAC ID: 3476719576 Enrollment ID: I20120718000039 |
| Provider Name | Lundy W Colvert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225179476 PECOS PAC ID: 0244251338 Enrollment ID: I20130917000265 |
| Provider Name | Danelle Richards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184725764 PECOS PAC ID: 3577743319 Enrollment ID: I20130920000215 |
| Provider Name | Kristin R Pece |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336378462 PECOS PAC ID: 0749414753 Enrollment ID: I20131007000593 |
| Provider Name | Dawn Renee Hawkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831480334 PECOS PAC ID: 4789803362 Enrollment ID: I20140912001307 |
| Provider Name | Alberto Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164832903 PECOS PAC ID: 5395060529 Enrollment ID: I20151111000393 |
| Provider Name | Andrew Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033587860 PECOS PAC ID: 6507166758 Enrollment ID: I20151119003012 |
| Provider Name | Brent T Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184072258 PECOS PAC ID: 3779531678 Enrollment ID: I20160825000392 |
| Provider Name | Diego S Espinoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528472289 PECOS PAC ID: 9739484114 Enrollment ID: I20170823001297 |
| Provider Name | Tabitha Marley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619498607 PECOS PAC ID: 3274807169 Enrollment ID: I20170915000620 |
| Provider Name | Gift Eze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457384588 PECOS PAC ID: 8224017736 Enrollment ID: I20170919003681 |
| Provider Name | Jomo C Osborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881079440 PECOS PAC ID: 4981941085 Enrollment ID: I20190709002661 |
| Provider Name | Jeremy Wayne Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144881665 PECOS PAC ID: 9133451917 Enrollment ID: I20191028002628 |
| Provider Name | Jacob Peter Mumm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083024590 PECOS PAC ID: 3678860327 Enrollment ID: I20200714002670 |
| Provider Name | Angela Olson Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336375724 PECOS PAC ID: 1052563707 Enrollment ID: I20200813002098 |
| Provider Name | Michael Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801891387 PECOS PAC ID: 2466426192 Enrollment ID: I20210614003495 |
| Provider Name | Todd L Engdahl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356330005 PECOS PAC ID: 8325095862 Enrollment ID: I20210920003417 |
| Provider Name | Erika Cecelia Kinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952867574 PECOS PAC ID: 7416374376 Enrollment ID: I20211006001128 |
| Provider Name | Seth Colby Bingman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457766891 PECOS PAC ID: 3476841685 Enrollment ID: I20211214001533 |
| Provider Name | Rachel Lea White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710448998 PECOS PAC ID: 8921332503 Enrollment ID: I20220617002534 |
| Provider Name | David A Horwitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942512199 PECOS PAC ID: 1759534712 Enrollment ID: I20220705001747 |
| Provider Name | Zachary Weatherford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932429230 PECOS PAC ID: 3779723721 Enrollment ID: I20221129003238 |
| Provider Name | Ronald Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437198074 PECOS PAC ID: 4385737865 Enrollment ID: I20231211000685 |
| Provider Name | Chibuike Anokwute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669731741 PECOS PAC ID: 1658683370 Enrollment ID: I20240117001866 |
| Provider Name | Jeffrey Hyland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023042504 PECOS PAC ID: 4486614450 Enrollment ID: I20240125000130 |
Wh Nj Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Sw 8th St # Ms 0215, Bentonville, AR 72716 Phone: 479-258-2080 | |
Ozarks Primary Care Plus Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8703 W Migration Way, Bentonville, AR 72713 Phone: 479-685-9809 | |
Amethyst Chiropractic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Mallard Pl Ste A, Bentonville, AR 72712 Phone: 404-484-2562 | |
Northwest Arkansas Internal Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2805 Mid Cities Dr, Suite 3, Bentonville, AR 72712 Phone: 479-876-8866 | |
New Way Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 Se J St, Bentonville, AR 72712 Phone: 479-534-9248 | |
Tucker Family Medicine Of Arkansas, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 S Walton Blvd, Ste. 17, Bentonville, AR 72712 Phone: 870-405-8579 | |
Benton Neurocare Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 Se 28th St Ste 5, Bentonville, AR 72712 Phone: 479-254-9761 Fax: 479-254-9732 |