Shawn D Marvin, MD | |
3344 N Futrall Dr, Fayetteville, AR 72703-4057 | |
(479) 443-5316 | |
(479) 582-7389 |
Full Name | Shawn D Marvin |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3344 N Futrall Dr, Fayetteville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386767051 | NPI | - | NPPES |
002472600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | E5000 (Arkansas) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | ME106037 (Florida) | Secondary |
Entity Name | Tahoe Carson Radiology Loos Et Al Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902838352 PECOS PAC ID: 6406832591 Enrollment ID: O20230131003344 |
Entity Name | High Desert Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134589716 PECOS PAC ID: 2769781244 Enrollment ID: O20230201000338 |
Mailing Address | Practice Location Address |
---|---|
Shawn D Marvin, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038 | Shawn D Marvin, MD 3344 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 443-5316 |
Dr. Fredrik J Balldin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3215 N. North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Jarret Sanders, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-968-7930 Fax: 479-968-4331 | |
Dr. Theodore N. Hronas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310 | |
Dr. Whitney Sipe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-442-6266 Fax: 479-521-3877 | |
Dr. Vanessa Hardin Branch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-443-5316 Fax: 479-582-7389 | |
Edward Wrenn Wooten, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-443-5316 | |
Dr. Christopher M Mcclinton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 E Monte Painter Dr, Fayetteville, AR 72703 Phone: 479-695-4234 |