| Noydeen Sisters Medical Group & Clinics, Inc | |
|
655 Dave Ward Dr Ste 103 Conway AR 72034-7145 | |
| (501) 209-4040 | |
| (501) 205-1776 |
| Full Name | Noydeen Sisters Medical Group & Clinics, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 655 Dave Ward Dr Ste 103, Conway, Arkansas |
| Authorized Official Name and Position | Ahmed Ali (OWNER, CEO) |
| Authorized Official Contact | 5012094040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noydeen Sisters Medical Group & Clinics, Inc 655 Dave Ward Dr Ste 103 Conway AR 72034-7145 Ph: (501) 209-4040 | Noydeen Sisters Medical Group & Clinics, Inc 655 Dave Ward Dr Ste 103 Conway AR 72034-7145 Ph: (501) 209-4040 |
| NPI Number | 1285084038 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 7618260092 |
|---|---|
| Medicare Enrollment ID | O20160722000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285084038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark L Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306921853 PECOS PAC ID: 8527967298 Enrollment ID: I20040102000233 |
| Provider Name | Billy R Mcbay |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659340826 PECOS PAC ID: 9436117231 Enrollment ID: I20041227000654 |
| Provider Name | Lavon J Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427251776 PECOS PAC ID: 1355473091 Enrollment ID: I20100716000105 |
| Provider Name | Ahmed A Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841425253 PECOS PAC ID: 8123284957 Enrollment ID: I20120724000330 |
| Provider Name | Noha I Mohamed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447583406 PECOS PAC ID: 5496998601 Enrollment ID: I20130906000416 |
| Provider Name | Carolyn Mehaffey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447519343 PECOS PAC ID: 2567788060 Enrollment ID: I20160721000981 |
| Provider Name | Kayla Renee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255839858 PECOS PAC ID: 0648531590 Enrollment ID: I20180309001808 |
| Provider Name | Christina J Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477102119 PECOS PAC ID: 8022440338 Enrollment ID: I20191107000197 |
| Provider Name | Arielle Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487221537 PECOS PAC ID: 4486056538 Enrollment ID: I20210712002574 |
| Provider Name | Moustafa Aly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003443706 PECOS PAC ID: 1658793757 Enrollment ID: I20240508001406 |
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