Dylan Paul Thaxton, MD | |
2223 Grant St, Malvern, AR 72104-4700 | |
(501) 337-9031 | |
(501) 337-9033 |
Full Name | Dylan Paul Thaxton |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 2223 Grant St, Malvern, 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 |
---|---|---|---|
1609040849 | NPI | - | NPPES |
170953001 | Medicaid | AR | |
1609040849 | Medicaid | MO | |
200594090 A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2007018509 (Missouri) | Secondary |
207Q00000X | Family Medicine | E5683 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center-hot Springs County | Malvern, AR | Hospital |
St Vincent Hot Springs | Hot springs, AR | Hospital |
Saline Memorial Hospital | Benton, AR | Hospital |
Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Direct Md Llc | 5395116941 | 2 |
Arkansas Heart Hospital Llc | 6002838653 | 90 |
Arkansas Heart Hospital Rural Health Services, Llc | 6204004815 | 53 |
Entity Name | Arkansas Heart Hospital Rural Health Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548553811 PECOS PAC ID: 6204004815 Enrollment ID: O20110727000090 |
Entity Name | Arkansas Heart Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558653212 PECOS PAC ID: 6002838653 Enrollment ID: O20110729000327 |
Entity Name | Direct Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457077356 PECOS PAC ID: 5395116941 Enrollment ID: O20230119000562 |
Mailing Address | Practice Location Address |
---|---|
Dylan Paul Thaxton, MD 2223 Grant St, Malvern, AR 72104-4700 Ph: (501) 337-9031 | Dylan Paul Thaxton, MD 2223 Grant St, Malvern, AR 72104-4700 Ph: (501) 337-9031 |
Ms. Melanie Deborah Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Schneider Dr, Malvern, AR 72104 Phone: 501-332-1000 | |
Dr. Gregory Scott Mckinney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Walco Ln, Malvern, AR 72104 Phone: 501-337-8061 Fax: 501-337-8043 | |
Dr. Vivian Faye Highsmith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1001 Schneider Dr, Malvern, AR 72104 Phone: 501-332-7355 Fax: 501-332-7044 | |
Omar Qazi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Schneider Dr, Malvern, AR 72104 Phone: 501-332-1000 | |
Larry Bruce Brashears, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1517 S Main St, Malvern, AR 72104 Phone: 501-332-7525 | |
Shawn Purifoy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Henry St, Malvern, AR 72104 Phone: 501-337-1836 Fax: 501-337-7935 |