| Northwest Physicians Llc | |
|
4077 Elm Springs Rd Ste 105 Springdale AR 72762-3703 | |
| (479) 757-5301 | |
| (479) 927-2211 |
| Full Name | Northwest Physicians Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 4077 Elm Springs Rd Ste 105, Springdale, 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 Physicians Llc 7100 Commerce Way Suite 170 Brentwood TN 37027-2829 Ph: (615) 465-7000 | Northwest Physicians Llc 4077 Elm Springs Rd Ste 105 Springdale AR 72762-3703 Ph: (479) 757-5301 |
| NPI Number | 1194768721 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 04/15/2025 |
| Medicare PECOS PAC ID | 0244213213 |
|---|---|
| Medicare Enrollment ID | O20040610000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194768721 | NPI | - | NPPES |
| CN7523 | Other | AR | RR MEDICARE |
| 134942002 | Medicaid | AR |
| Provider Name | Michael D Green |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437193612 PECOS PAC ID: 6305741570 Enrollment ID: I20031201000630 |
| Provider Name | David J Foscue |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366409930 PECOS PAC ID: 6002806353 Enrollment ID: I20040621001825 |
| Provider Name | Kenneth Tonymon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164472072 PECOS PAC ID: 7416869482 Enrollment ID: I20051128000793 |
| Provider Name | Bilal Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316901994 PECOS PAC ID: 1951315811 Enrollment ID: I20060130000863 |
| Provider Name | Tiffany Weathers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215960471 PECOS PAC ID: 2466457023 Enrollment ID: I20061003000676 |
| Provider Name | John G Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538152699 PECOS PAC ID: 9739186156 Enrollment ID: I20061027000275 |
| Provider Name | O K Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457399438 PECOS PAC ID: 0547164071 Enrollment ID: I20061028000048 |
| Provider Name | Maryalice Apn Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326071283 PECOS PAC ID: 3577572296 Enrollment ID: I20070116000184 |
| Provider Name | Amy M Irwin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811006760 PECOS PAC ID: 1355314246 Enrollment ID: I20070206000271 |
| Provider Name | Abdul Ezeldin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639129133 PECOS PAC ID: 7719981786 Enrollment ID: I20070705000255 |
| Provider Name | Melanie Kristin Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770695223 PECOS PAC ID: 4284626805 Enrollment ID: I20070723000177 |
| Provider Name | Scott R Musick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386672392 PECOS PAC ID: 3072597673 Enrollment ID: I20070829000330 |
| Provider Name | John Heim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063483824 PECOS PAC ID: 1557306750 Enrollment ID: I20080208000447 |
| Provider Name | Rhonald Searcy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518173483 PECOS PAC ID: 7315021219 Enrollment ID: I20080303000283 |
| Provider Name | Heather A Martinelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427016310 PECOS PAC ID: 9234208224 Enrollment ID: I20080516000267 |
| Provider Name | Mohammed Shakeel Ur Rehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477683886 PECOS PAC ID: 1052412152 Enrollment ID: I20080624000785 |
| Provider Name | George R Declerk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205037611 PECOS PAC ID: 1456410182 Enrollment ID: I20081110000303 |
| Provider Name | Jeffrey Bearden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992768105 PECOS PAC ID: 8426105461 Enrollment ID: I20090409000179 |
| Provider Name | Scarlet Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497749428 PECOS PAC ID: 4981752292 Enrollment ID: I20090424000302 |
| Provider Name | Madhu T Kalyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386689644 PECOS PAC ID: 0446229843 Enrollment ID: I20090820000058 |
| Provider Name | Bhargav Thangali Varadaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982859351 PECOS PAC ID: 0941355911 Enrollment ID: I20090827000642 |
| Provider Name | James Scott Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437213113 PECOS PAC ID: 5496893109 Enrollment ID: I20091117000194 |
| Provider Name | Stephen Hudson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932191814 PECOS PAC ID: 5092886275 Enrollment ID: I20100323000864 |
| Provider Name | Phuong Q Mueller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619912110 PECOS PAC ID: 7214065556 Enrollment ID: I20100507000198 |
| Provider Name | Garrett Brian Sanford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639370851 PECOS PAC ID: 5395893002 Enrollment ID: I20100622000925 |
| Provider Name | Thomas De Miranda |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1689866725 PECOS PAC ID: 4981735636 Enrollment ID: I20100624000874 |
| Provider Name | Julia D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306163159 PECOS PAC ID: 5294867693 Enrollment ID: I20100721000243 |
| Provider Name | Ahmad Elesber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699748806 PECOS PAC ID: 8022104454 Enrollment ID: I20101115000341 |
| Provider Name | Darrin Douglas Cunningham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548262306 PECOS PAC ID: 6103959929 Enrollment ID: I20101209000165 |
| Provider Name | Daniel Reiter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245231943 PECOS PAC ID: 0648303461 Enrollment ID: I20101215001174 |
| Provider Name | Michael Clouatre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497756415 PECOS PAC ID: 7911030739 Enrollment ID: I20110222000623 |
| Provider Name | Joan Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184661431 PECOS PAC ID: 8224212162 Enrollment ID: I20110418000567 |
| Provider Name | Robert A Petrino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861402265 PECOS PAC ID: 7719985639 Enrollment ID: I20110513000325 |
| Provider Name | John David Alston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487664892 PECOS PAC ID: 1052594116 Enrollment ID: I20110517000534 |
| Provider Name | Raza Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891960431 PECOS PAC ID: 0941488217 Enrollment ID: I20110711000367 |
| Provider Name | Kyle Edwin Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730307570 PECOS PAC ID: 7315094406 Enrollment ID: I20110804000266 |
| Provider Name | Olujoke B Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629028667 PECOS PAC ID: 5092609032 Enrollment ID: I20111020000661 |
| Provider Name | Leann Metheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598052250 PECOS PAC ID: 3870766041 Enrollment ID: I20111103000398 |
| Provider Name | Donnie Joe Holden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891880373 PECOS PAC ID: 8224013339 Enrollment ID: I20120201000780 |
| Provider Name | Ramon C Ylanan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497841530 PECOS PAC ID: 7214029206 Enrollment ID: I20120221000939 |
| Provider Name | Phyllis S Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639461189 PECOS PAC ID: 3072771930 Enrollment ID: I20120223000087 |
| Provider Name | Julianne P Braswell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992915409 PECOS PAC ID: 9931362357 Enrollment ID: I20120523000193 |
| Provider Name | Alexis N Mccollum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811160690 PECOS PAC ID: 9335397827 Enrollment ID: I20120906000608 |
| Provider Name | Adam Baird Mccall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831400852 PECOS PAC ID: 0840472361 Enrollment ID: I20121023000320 |
| Provider Name | Philip A Cedeno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457468498 PECOS PAC ID: 0749216141 Enrollment ID: I20121114000117 |
| Provider Name | Larry D Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043456023 PECOS PAC ID: 1456548098 Enrollment ID: I20130415000200 |
| Provider Name | Ranga Balasekaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518965813 PECOS PAC ID: 0345240024 Enrollment ID: I20130521000566 |
| Provider Name | Lynn Ann Outlaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861400608 PECOS PAC ID: 8820255490 Enrollment ID: I20130615000120 |
| Provider Name | Matthew R. Patoka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053623066 PECOS PAC ID: 9335381813 Enrollment ID: I20130813000375 |
| Provider Name | Serena Michelle Pierson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093945834 PECOS PAC ID: 3779727912 Enrollment ID: I20130910000449 |
| Provider Name | Michelle Chua Ang Poland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952429680 PECOS PAC ID: 1355434739 Enrollment ID: I20130917000068 |
| Provider Name | Shona L Ray-griffith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144463423 PECOS PAC ID: 9335383777 Enrollment ID: I20130925000052 |
| Provider Name | Christopher Antonio Menendez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881894673 PECOS PAC ID: 3870667611 Enrollment ID: I20140515000424 |
| Provider Name | George Deimel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669603064 PECOS PAC ID: 5890980189 Enrollment ID: I20140904000829 |
| Provider Name | Tiffany L Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598105033 PECOS PAC ID: 5698997831 Enrollment ID: I20141104000891 |
| Provider Name | Amber C Mcghee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821494857 PECOS PAC ID: 5294059200 Enrollment ID: I20150122001963 |
| Provider Name | Kelley A Hinely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619395811 PECOS PAC ID: 4284959693 Enrollment ID: I20150205002200 |
| Provider Name | Heron B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932591617 PECOS PAC ID: 7517287972 Enrollment ID: I20150526002459 |
| Provider Name | Steven E Kempson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972503399 PECOS PAC ID: 3870506678 Enrollment ID: I20150528000966 |
| Provider Name | Sam L Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023405198 PECOS PAC ID: 1951614296 Enrollment ID: I20150716000309 |
| Provider Name | Lashundra Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659710531 PECOS PAC ID: 6901113406 Enrollment ID: I20150916001009 |
| Provider Name | Heather D Hannah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326203720 PECOS PAC ID: 7618287996 Enrollment ID: I20151117002727 |
| Provider Name | Valerie Bedwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013394287 PECOS PAC ID: 1254633282 Enrollment ID: I20160108000163 |
| Provider Name | April Durham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629335955 PECOS PAC ID: 0042456667 Enrollment ID: I20160219002049 |
| Provider Name | Pearl Samuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407114978 PECOS PAC ID: 9739486366 Enrollment ID: I20160328000814 |
| Provider Name | Patricia E Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740649920 PECOS PAC ID: 7719286442 Enrollment ID: I20160503000087 |
| Provider Name | Laurie Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588608699 PECOS PAC ID: 0244529816 Enrollment ID: I20160520001384 |
| Provider Name | Jan L Furniss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639250459 PECOS PAC ID: 6103015003 Enrollment ID: I20160728000496 |
| Provider Name | Sidharth Jogani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912210444 PECOS PAC ID: 6800180480 Enrollment ID: I20160804000285 |
| Provider Name | Chaitanya Bonda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659651552 PECOS PAC ID: 5193010064 Enrollment ID: I20160817002118 |
| Provider Name | Ashley Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215386065 PECOS PAC ID: 6901191550 Enrollment ID: I20160823000298 |
| Provider Name | Logan Rochelle Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396288411 PECOS PAC ID: 9739461716 Enrollment ID: I20170127000331 |
| Provider Name | Renetta R Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487194346 PECOS PAC ID: 5496030991 Enrollment ID: I20170324000573 |
| Provider Name | Aaron Carson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376802504 PECOS PAC ID: 2860711439 Enrollment ID: I20170327000147 |
| Provider Name | Theresa J Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841677622 PECOS PAC ID: 6002102993 Enrollment ID: I20170427001529 |
| Provider Name | Amber Dawn Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750826798 PECOS PAC ID: 2264719939 Enrollment ID: I20170505000955 |
| Provider Name | Gregory Ryan Spears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083768618 PECOS PAC ID: 4789762907 Enrollment ID: I20170829000545 |
| Provider Name | Ashu Dhanjal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689874166 PECOS PAC ID: 0941497085 Enrollment ID: I20170906000195 |
| Provider Name | Tori Abernathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982147765 PECOS PAC ID: 7618250291 Enrollment ID: I20170918002872 |
| Provider Name | Nettie Kinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154406486 PECOS PAC ID: 5799799623 Enrollment ID: I20171006002382 |
| Provider Name | Mandie Leigh Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760630131 PECOS PAC ID: 4082916630 Enrollment ID: I20180201000867 |
| Provider Name | Melanie Ann Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114454048 PECOS PAC ID: 3072882497 Enrollment ID: I20180416000780 |
| Provider Name | Joe Olivi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578663191 PECOS PAC ID: 7214084136 Enrollment ID: I20180420000773 |
| Provider Name | Alysson Blythe Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437655065 PECOS PAC ID: 4981969029 Enrollment ID: I20180521001532 |
| Provider Name | Quoc-anh Thai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558328278 PECOS PAC ID: 4082659198 Enrollment ID: I20180619002568 |
| Provider Name | Pradeep Kumbham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588079560 PECOS PAC ID: 2062728934 Enrollment ID: I20180719003064 |
| Provider Name | James Robert Feher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043704497 PECOS PAC ID: 1557612777 Enrollment ID: I20180926002561 |
| Provider Name | Angela Jo Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467935114 PECOS PAC ID: 3971854027 Enrollment ID: I20180928001349 |
| Provider Name | Clyde Ray Redmond |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700952462 PECOS PAC ID: 1355383431 Enrollment ID: I20181003001785 |
| Provider Name | Emilia Wobga-pasiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407219033 PECOS PAC ID: 2769781103 Enrollment ID: I20181207001060 |
| Provider Name | Leticia Barksdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588059281 PECOS PAC ID: 6901114545 Enrollment ID: I20181221002205 |
| Provider Name | Frank Schmidt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154497717 PECOS PAC ID: 7113969296 Enrollment ID: I20181231000955 |
| Provider Name | David Allen Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841767118 PECOS PAC ID: 6709123607 Enrollment ID: I20190131000821 |
| Provider Name | Yves-mary Nazaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750744660 PECOS PAC ID: 4082913330 Enrollment ID: I20190211000850 |
| Provider Name | Mitchell Craig Preston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417955766 PECOS PAC ID: 8820984941 Enrollment ID: I20190212002807 |
| Provider Name | Jessica Jean Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881150563 PECOS PAC ID: 6709126196 Enrollment ID: I20190321001740 |
| Provider Name | Megan Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881076495 PECOS PAC ID: 9830404771 Enrollment ID: I20190501001888 |
| Provider Name | Emmanuel Obi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447791645 PECOS PAC ID: 3678840824 Enrollment ID: I20190508000049 |
| Provider Name | Aaron Zabriskie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881035244 PECOS PAC ID: 4880814193 Enrollment ID: I20190530001899 |
| Provider Name | Carlos Vela-sandoval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609033265 PECOS PAC ID: 1355418856 Enrollment ID: I20190604001723 |
| Provider Name | Joshua K Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780148262 PECOS PAC ID: 5799019071 Enrollment ID: I20190619002756 |
| Provider Name | Oyenike Adigun-awonaike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861058547 PECOS PAC ID: 8527393255 Enrollment ID: I20190717001418 |
| Provider Name | Hilton M Hudson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689614828 PECOS PAC ID: 7911984513 Enrollment ID: I20190814003505 |
| Provider Name | Abbey Breanna Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942853254 PECOS PAC ID: 3375871056 Enrollment ID: I20190819003009 |
| Provider Name | Jaquelyn Wilansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720519812 PECOS PAC ID: 0840568895 Enrollment ID: I20190917003947 |
| Provider Name | Irum Azim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295276418 PECOS PAC ID: 8729365929 Enrollment ID: I20191001003228 |
| Provider Name | Kent D Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972034759 PECOS PAC ID: 7810273117 Enrollment ID: I20191010003302 |
| Provider Name | Wendy Joanne Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588213771 PECOS PAC ID: 0042541401 Enrollment ID: I20191016001258 |
| Provider Name | Porcha Leggett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962948935 PECOS PAC ID: 8820372709 Enrollment ID: I20191021002799 |
| Provider Name | Michael T Bogatch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154556678 PECOS PAC ID: 6709181373 Enrollment ID: I20191115002349 |
| Provider Name | Christopher D Stone |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750356614 PECOS PAC ID: 3072589068 Enrollment ID: I20191119002577 |
| Provider Name | Maya A Babu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811208788 PECOS PAC ID: 4688847825 Enrollment ID: I20200127000372 |
| Provider Name | Sarenthia M Epps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871955526 PECOS PAC ID: 6406130947 Enrollment ID: I20200130001453 |
| Provider Name | Tonya Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720613482 PECOS PAC ID: 8022449057 Enrollment ID: I20200507001308 |
| Provider Name | Andrew M Eisele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497380414 PECOS PAC ID: 5597176644 Enrollment ID: I20201123000834 |
| Provider Name | Steven Curiale |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649290834 PECOS PAC ID: 2062419708 Enrollment ID: I20210212000440 |
| Provider Name | David Lee Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679197875 PECOS PAC ID: 7416362637 Enrollment ID: I20210222002342 |
| Provider Name | Anthony J Klappa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982998837 PECOS PAC ID: 0143445155 Enrollment ID: I20220321000178 |
| Provider Name | Bailee Lutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598227787 PECOS PAC ID: 0547597551 Enrollment ID: I20220721003768 |
| Provider Name | Carol G Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477267193 PECOS PAC ID: 4981061587 Enrollment ID: I20230612003175 |
| Provider Name | Bradley Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659908614 PECOS PAC ID: 6103244918 Enrollment ID: I20230803004375 |
| Provider Name | Bethany Morrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225599244 PECOS PAC ID: 3072847755 Enrollment ID: I20230927002750 |
| Provider Name | Courtney Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902487192 PECOS PAC ID: 5092118364 Enrollment ID: I20240713000515 |
| Provider Name | Michael Blake Lindley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427587914 PECOS PAC ID: 7517239056 Enrollment ID: I20240917000579 |
| Provider Name | Eli Jacob Fulfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629848098 PECOS PAC ID: 2365973526 Enrollment ID: I20240930002131 |
| Provider Name | Kuo Huang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710048822 PECOS PAC ID: 4789626854 Enrollment ID: I20241024000937 |
| Provider Name | Melissa Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063240646 PECOS PAC ID: 0345774675 Enrollment ID: I20241109000136 |
| Provider Name | Paul Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063406437 PECOS PAC ID: 0840191177 Enrollment ID: I20241118003283 |
| Provider Name | Ralph Saintfort |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184617995 PECOS PAC ID: 6002843810 Enrollment ID: I20241203004602 |
| Provider Name | Ifeanyi Izediuno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043443401 PECOS PAC ID: 3779726146 Enrollment ID: I20241226000343 |
| Provider Name | Sarah Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164294963 PECOS PAC ID: 9638608375 Enrollment ID: I20250127000320 |
| Provider Name | Lisa Waterman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467455808 PECOS PAC ID: 1355526377 Enrollment ID: I20250214002804 |
| Provider Name | Nauman Taj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942516539 PECOS PAC ID: 1052633989 Enrollment ID: I20250227000741 |
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 |