| Total Wound Care Of Arkansas,llc | |
|
4250 N Venetian Ln Fayetteville AR 72703-5077 | |
| (405) 246-0811 | |
| (405) 546-5801 |
| Full Name | Total Wound Care Of Arkansas,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4250 N Venetian Ln, Fayetteville, Arkansas |
| Authorized Official Name and Position | Tad Burgess (CEO/OWNER) |
| Authorized Official Contact | 4056596993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wound Care Of Arkansas,llc 1900 Nw Expressway Ste 800 Oklahoma City OK 73118-1804 Ph: (405) 246-0811 | Total Wound Care Of Arkansas,llc 4250 N Venetian Ln Fayetteville AR 72703-5077 Ph: (405) 246-0811 |
| NPI Number | 1205655008 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 05/21/2025 |
| Medicare PECOS PAC ID | 3375064918 |
|---|---|
| Medicare Enrollment ID | O20250311003075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205655008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tara Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801378641 PECOS PAC ID: 5395190177 Enrollment ID: I20250417001429 |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3162 W Martin Luther King Blvd, Suites 13 & 14, Fayetteville, AR 72704 Phone: 479-935-4834 Fax: 479-751-2878 | |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Bryan Abernathy, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1806 N Crossover Rd, Suite 4, Fayetteville, AR 72701 Phone: 479-521-5603 Fax: 479-521-5773 | |
Access Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703 Phone: 479-527-9966 Fax: 479-527-9677 | |
County Of Washington Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3270 N. Wimberly Drive, Fayetteville, AR 72703 Phone: 479-973-8450 Fax: 479-973-8452 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |
Rediclinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 North Mall Avenue, Fayetteville, AR 72703 Phone: 866-706-6334 Fax: 713-358-4801 |