Dr Upton Gardner Siddons Sr, MD | |
1480 W Center St, Greenwood, AR 72936-3449 | |
(479) 996-5585 | |
Not Available |
Full Name | Dr Upton Gardner Siddons Sr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 4 Years |
Location | 1480 W Center St, Greenwood, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871084301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-12892 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospice | Fort smith, AR | Hospice |
Baptist Health - Fort Smith | Fort smith, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Services | 0648514133 | 135 |
University Of Arkansas | 4082528955 | 1098 |
Entity Name | University Of Arkansas For Medical Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831193531 PECOS PAC ID: 4082528955 Enrollment ID: O20040124000178 |
Entity Name | Baptist Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401 |
Mailing Address | Practice Location Address |
---|---|
Dr Upton Gardner Siddons Sr, MD 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (479) 996-5585 | Dr Upton Gardner Siddons Sr, MD 1480 W Center St, Greenwood, AR 72936-3449 Ph: (479) 996-5585 |
Glenn G Gibbons, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1480 W Center St, Greenwood, AR 72936 Phone: 479-996-5585 Fax: 479-996-5386 | |
Dr. Lance W Barton, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 20 North Aster, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 | |
Wilson Javier Cruz-leal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1480 W Center St, Greenwood, AR 72936 Phone: 479-996-5585 Fax: 479-996-5386 | |
Dr. Aaron E White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 North Aster, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 | |
Dr. Deborah A Hays, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 N Aster St, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 |