Dr Rowland P Vernon Jr, MD | |
6801 Rogers Ave, Fort Smith, AR 72903-4067 | |
(479) 274-4800 | |
(479) 274-4849 |
Full Name | Dr Rowland P Vernon Jr |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 6801 Rogers Ave, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003825498 | NPI | - | NPPES |
105813001 | Medicaid | AR | |
060052793 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | R-2769 (Arkansas) | Primary |
Entity Name | Cooper Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154341931 PECOS PAC ID: 1153219621 Enrollment ID: O20040607000412 |
Mailing Address | Practice Location Address |
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Dr Rowland P Vernon Jr, MD Po Box 3528, Fort Smith, AR 72913-3528 Ph: (479) 274-2000 | Dr Rowland P Vernon Jr, MD 6801 Rogers Ave, Fort Smith, AR 72903-4067 Ph: (479) 274-4800 |
Dr. James Michael Whiteneck, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903 Phone: 479-314-4650 Fax: 479-452-1196 | |
Randy K Metcalf, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave Ste 285b, Fort Smith, AR 72901 Phone: 479-709-7025 Fax: 479-709-7026 |