| University Of Arkansas For Medical Sciences | |
|
620 W Grove St Ste 202 El Dorado AR 71730-4425 | |
| (870) 639-9939 | |
| (870) 639-9914 |
| Full Name | University Of Arkansas For Medical Sciences |
|---|---|
| Speciality | Family Medicine |
| Location | 620 W Grove St Ste 202, El Dorado, Arkansas |
| Authorized Official Name and Position | Amanda George (VICE CHANCELLOR-CHIEF FINANCIAL OFF) |
| Authorized Official Contact | 5016865670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Arkansas For Medical Sciences Po Box 251420 Little Rock AR 72225-1420 Ph: (501) 686-8000 | University Of Arkansas For Medical Sciences 620 W Grove St Ste 202 El Dorado AR 71730-4425 Ph: (870) 639-9939 |
| NPI Number | 1083486781 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 06/19/2025 |
| Medicare PECOS PAC ID | 4082528955 |
|---|---|
| Medicare Enrollment ID | O20240109004338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083486781 | NPI | - | NPPES |
| 315037002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Martha G Garrett Shaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740274448 PECOS PAC ID: 8527971159 Enrollment ID: I20031110000677 |
| Provider Name | Joseph A Deluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417969478 PECOS PAC ID: 9335146844 Enrollment ID: I20061025000752 |
| Provider Name | Donya Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396773735 PECOS PAC ID: 3779558374 Enrollment ID: I20100730000319 |
| Provider Name | Julie N Wylie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932377256 PECOS PAC ID: 1456546803 Enrollment ID: I20101110001208 |
| Provider Name | Amy W Cross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013917905 PECOS PAC ID: 4688854904 Enrollment ID: I20110203000709 |
| Provider Name | Tiffany Dawn Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295185106 PECOS PAC ID: 0345473344 Enrollment ID: I20160913000811 |
| Provider Name | Jacquelene C Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174822506 PECOS PAC ID: 8527289222 Enrollment ID: I20240409005064 |
| Provider Name | Michael G Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255913992 PECOS PAC ID: 4688073679 Enrollment ID: I20240709000291 |
| Provider Name | Melissa B Hanish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679914154 PECOS PAC ID: 9830197326 Enrollment ID: I20240725003571 |
| Provider Name | Forrest J Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174107916 PECOS PAC ID: 4789085192 Enrollment ID: I20240808000503 |
| Provider Name | Elizabeth Marie Damers-hollis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881495505 PECOS PAC ID: 4880119825 Enrollment ID: I20250422003088 |
South Arkansas Caring Pregnancy Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Main St, Suite 201, El Dorado, AR 71730 Phone: 870-862-1317 Fax: 870-862-4297 | |
University Of Arkansas For Medical Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-541-6000 | |
Cabun Rural Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Dr. Mlk Jr. Blvd, El Dorado, AR 71730 Phone: 870-639-3875 Fax: 870-798-4100 | |
Remel Buslig Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Doe Meadow Ln, El Dorado, AR 71730 Phone: 870-864-0913 Fax: 870-864-0913 | |
Sama Healthcare Services, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 Fax: 870-864-8142 | |
William L. Harper, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Oak St, El Dorado, AR 71730 Phone: 870-863-5135 Fax: 870-863-5137 |