| Washington Regional Medical System | |
|
3053 N College Avenue Fayetteville AR 72703 | |
| (479) 463-2000 | |
| (479) 442-4518 |
| Full Name | Washington Regional Medical System |
|---|---|
| Speciality | Family Medicine |
| Location | 3053 N College Avenue, Fayetteville, Arkansas |
| Authorized Official Name and Position | Mary Jo Rothrock (DIRECTOR CLINIC ADMINISTRATION) |
| Authorized Official Contact | 4794631390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Regional Medical System Po Box 879 Fayetteville AR 72702-0879 Ph: (479) 713-7115 | Washington Regional Medical System 3053 N College Avenue Fayetteville AR 72703 Ph: (479) 463-2000 |
| NPI Number | 1114971819 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 03/25/2008 |
| Medicare PECOS PAC ID | 8820995434 |
|---|---|
| Medicare Enrollment ID | O20040210001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114971819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Johnny P Adkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164472908 PECOS PAC ID: 6002873957 Enrollment ID: I20041213000837 |
| Provider Name | Matthew B Totten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659326312 PECOS PAC ID: 3678507241 Enrollment ID: I20050922000911 |
| Provider Name | David Grady Ratcliff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205886090 PECOS PAC ID: 3971520040 Enrollment ID: I20051027000941 |
| Provider Name | Steven F Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154371946 PECOS PAC ID: 9739103805 Enrollment ID: I20060117000796 |
| Provider Name | Rhonald Searcy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518173483 PECOS PAC ID: 7315021219 Enrollment ID: I20080303000283 |
| Provider Name | Frances Radkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306801196 PECOS PAC ID: 3072568872 Enrollment ID: I20090827000684 |
| Provider Name | Stacy C Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467488791 PECOS PAC ID: 1759349723 Enrollment ID: I20100810000593 |
| Provider Name | Taesha Cn Winford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877340 PECOS PAC ID: 0042442964 Enrollment ID: I20150108000676 |
| Provider Name | Gilbert-roy B Kamoga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467665984 PECOS PAC ID: 2860546033 Enrollment ID: I20170327001581 |
| Provider Name | Kylie Quick Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477932242 PECOS PAC ID: 2769788785 Enrollment ID: I20180808001997 |
| Provider Name | Doreen M Kamoga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518490648 PECOS PAC ID: 9739459116 Enrollment ID: I20200608001464 |
| Provider Name | Tyler Falls Brockman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407397730 PECOS PAC ID: 7012280183 Enrollment ID: I20200805002478 |
| Provider Name | Sheena Carllee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235541012 PECOS PAC ID: 1850518820 Enrollment ID: I20200922003227 |
| Provider Name | Anne G Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922452689 PECOS PAC ID: 8325373129 Enrollment ID: I20220818003014 |
| Provider Name | Myrrh E Hector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912691544 PECOS PAC ID: 7416301478 Enrollment ID: I20230925001220 |
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 |