| University Of Central Arkansas | |
| 
					201 Donaghey Ave Conway AR 72035-5001  | |
| (501) 450-3136 | |
| (501) 450-3370 | 
| Full Name | University Of Central Arkansas | 
|---|---|
| Speciality | Family Medicine | 
| Location | 201 Donaghey Ave, Conway, Arkansas | 
| Authorized Official Name and Position | Chad Lairamore (ASSOCIATE DEAN) | 
| Authorized Official Contact | 5014503136 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| University Of Central Arkansas 201 Donaghey Ave Uca Student Health Center Conway AR 72035-5001 Ph: (501) 450-3136  | University Of Central Arkansas 201 Donaghey Ave Conway AR 72035-5001 Ph: (501) 450-3136  | 
| NPI Number | 1912543240 | 
|---|---|
| Provider Enumeration Date | 11/21/2019 | 
| Last Update Date | 03/21/2023 | 
| Medicare PECOS PAC ID | 0042612244 | 
|---|---|
| Medicare Enrollment ID | O20210712000255 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912543240 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Randy J Pastor | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1710983465 PECOS PAC ID: 4688658412 Enrollment ID: I20040617000804  | 
| Provider Name | Leah M Martin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033329701 PECOS PAC ID: 5991864290 Enrollment ID: I20081031000094  | 
| Provider Name | Mary Jane Pettit | 
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional | 
| Provider Identifiers | NPI Number: 1801054747 PECOS PAC ID: 7214085687 Enrollment ID: I20090423000609  | 
| Provider Name | Rebecca Michelle Gray | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497998041 PECOS PAC ID: 2860543824 Enrollment ID: I20090702000313  | 
| Provider Name | Tina Chung | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1942433149 PECOS PAC ID: 0941349641 Enrollment ID: I20091208000794  | 
| Provider Name | Jennifer E Cox | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992125595 PECOS PAC ID: 6204058670 Enrollment ID: I20141119002098  | 
| Provider Name | Tisha Jenkins | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1912230889 PECOS PAC ID: 7719207414 Enrollment ID: I20150520002051  | 
| Provider Name | Rachel M Scott | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1417193327 PECOS PAC ID: 0042573297 Enrollment ID: I20180423000029  | 
| Provider Name | Christopher Rigsby | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1659823219 PECOS PAC ID: 1254733876 Enrollment ID: I20210706000804  | 
| Provider Name | Maysoon Faik Biller | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1902052921 PECOS PAC ID: 8820489909 Enrollment ID: I20211228000944  | 
| Provider Name | Richelle Leigh Weese | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1427168558 PECOS PAC ID: 5597156471 Enrollment ID: I20220104000591  | 
| Provider Name | Kathryn Weaver | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1457507170 PECOS PAC ID: 6406248368 Enrollment ID: I20220126002754  | 
| Provider Name | Jennifer R. Simpson | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1548430937 PECOS PAC ID: 6800289166 Enrollment ID: I20220209000363  | 
| Provider Name | Ashley Megan Mcclain | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1518622257 PECOS PAC ID: 1254725328 Enrollment ID: I20220307001521  | 
| Provider Name | Amber Lynn Lingle Goff | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1164545661 PECOS PAC ID: 4486049046 Enrollment ID: I20220317000226  | 
| Provider Name | Chad Lairamore | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1861198707 PECOS PAC ID: 7719350453 Enrollment ID: I20230825000890  | 
| Provider Name | Nancy B Ellis | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1922339910 PECOS PAC ID: 9032565171 Enrollment ID: I20231026001610  | 
| Provider Name | Tiffany Vaughan | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1861528358 PECOS PAC ID: 2961858980 Enrollment ID: I20231027001157  | 
| Provider Name | Kayla Gowin | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1437521127 PECOS PAC ID: 0648626077 Enrollment ID: I20240412003766  | 
| Provider Name | Lance Kyle White | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1710123377 PECOS PAC ID: 4284156704 Enrollment ID: I20250313002362  | 
Access Family Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1505 Winterbrook Dr, Conway, AR 72034 Phone: 479-968-7930  | |
B A Scroggins, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1355 Dave Ward Dr Ste 101, Conway, AR 72034 Phone: 501-269-5105  | |
Conway Regional Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 College Ave Ste 101, Conway, AR 72034 Phone: 501-852-1363 Fax: 501-852-1364  | |
Advanced O & P Techniques, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Donaghey Ave, Conway, AR 72034 Phone: 501-548-6288 Fax: 501-513-1890  | |
Hull Family Eyecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1250 S Amity Rd, Conway, AR 72032 Phone: 479-856-9344  | |
Roy E Denton Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Robinson Ave, Conway, AR 72034 Phone: 501-932-3500 Fax: 501-932-3520  | |
Karl H. Landberg, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1375 Highway 64 W, Conway, AR 72032 Phone: 501-336-9620 Fax: 501-336-0018  |