| Shipley & Sills Family Practice, Pllc | |
|
4003 Massard Rd. Fort Smith AR 72903 | |
| (479) 226-3836 | |
| (479) 434-5987 |
| Full Name | Shipley & Sills Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4003 Massard Rd., Fort Smith, Arkansas |
| Authorized Official Name and Position | Melissa Pulliam (BUSINESS MANAGER) |
| Authorized Official Contact | 4792263836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shipley & Sills Family Practice, Pllc 4003 Massard Rd Fort Smith AR 72903 Ph: (479) 226-3836 | Shipley & Sills Family Practice, Pllc 4003 Massard Rd. Fort Smith AR 72903 Ph: (479) 226-3836 |
| NPI Number | 1104105972 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 07/28/2014 |
| Medicare PECOS PAC ID | 3870751969 |
|---|---|
| Medicare Enrollment ID | O20120221000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104105972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | David Barton Sills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063409878 PECOS PAC ID: 7012826498 Enrollment ID: I20040211001239 |
| Provider Name | Wendy A Gaston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548204654 PECOS PAC ID: 3072564806 Enrollment ID: I20050312000051 |
| Provider Name | Donna M. Shipley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205970209 PECOS PAC ID: 3577637560 Enrollment ID: I20080808000779 |
| Provider Name | Sunny Deshai Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437517281 PECOS PAC ID: 9739484718 Enrollment ID: I20160301000064 |
| Provider Name | Janice Darlene Sudbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192847 PECOS PAC ID: 9537465471 Enrollment ID: I20160302002579 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Rvpcs Northside Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Fort Smith Eye Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903 Phone: 479-452-1580 Fax: 479-452-6910 | |
Premise Health - Rheem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Old Greenwood Rd, Fort Smith, AR 72908 Phone: 479-242-4290 Fax: 479-242-4640 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |
Available Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903 Phone: 479-452-6362 Fax: 479-484-5652 |