Uams Family Medicine Clinic-south Arkansas | |
1617 N Washington Magnolia AR 71753-2046 | |
(870) 234-7676 | |
Not Available |
Full Name | Uams Family Medicine Clinic-south Arkansas |
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Speciality | Family Medicine |
Location | 1617 N Washington, Magnolia, Arkansas |
Authorized Official Name and Position | Amanda George (VICE CHANCELLOR-CHIEF FINANCIAL OFF) |
Authorized Official Contact | 5016865670 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Uams Family Medicine Clinic-south Arkansas Po Box 251420 Little Rock AR 72225-1420 Ph: (501) 686-8000 | Uams Family Medicine Clinic-south Arkansas 1617 N Washington Magnolia AR 71753-2046 Ph: (870) 234-7676 |
NPI Number | 1750375895 |
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Provider Enumeration Date | 09/05/2005 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 4082528955 |
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Medicare Enrollment ID | O20031114000421 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750375895 | NPI | - | NPPES |
124331069 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
Provider Name | Barbara Ann Porchia |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1427140920 PECOS PAC ID: 2062443948 Enrollment ID: I20050830001058 |
Provider Name | Stephen P King |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144266727 PECOS PAC ID: 2062405020 Enrollment ID: I20060824000061 |
Provider Name | Fred Murphy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629181433 PECOS PAC ID: 5496844938 Enrollment ID: I20071211000264 |
Provider Name | Michael J Weaver |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1235337049 PECOS PAC ID: 8820147614 Enrollment ID: I20090528000011 |
Provider Name | Harvie Marks Attwood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568407088 PECOS PAC ID: 8628112471 Enrollment ID: I20100218000113 |
Provider Name | Donya Watson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396773735 PECOS PAC ID: 3779558374 Enrollment ID: I20100730000319 |
Provider Name | Mimo R Lemdja |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023283710 PECOS PAC ID: 5698890317 Enrollment ID: I20100917000171 |
Provider Name | Julie N Wylie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932377256 PECOS PAC ID: 1456546803 Enrollment ID: I20101110001208 |
Provider Name | Anil K Kopparapu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487897401 PECOS PAC ID: 5991956765 Enrollment ID: I20160601000872 |
Provider Name | Jessiela Venis Roberts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104168459 PECOS PAC ID: 7911218722 Enrollment ID: I20160812001374 |
Provider Name | Joshua D O'mara |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1457874703 PECOS PAC ID: 8628349198 Enrollment ID: I20170801002502 |
Provider Name | Nathan Probst |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508213984 PECOS PAC ID: 8527333251 Enrollment ID: I20171006000074 |
Provider Name | William Brainerd Ventres |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932251006 PECOS PAC ID: 5395731509 Enrollment ID: I20171030001194 |
Provider Name | Bethany N Jennings |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174028534 PECOS PAC ID: 4284989187 Enrollment ID: I20180618001952 |
Provider Name | Rayna B Penister |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619354818 PECOS PAC ID: 4981917101 Enrollment ID: I20181130002218 |
Provider Name | Tomekia S White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992192769 PECOS PAC ID: 8628398393 Enrollment ID: I20190628000843 |
Provider Name | Amber Norris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659806008 PECOS PAC ID: 6709201288 Enrollment ID: I20200730002437 |
Provider Name | Pavana Tirumanisetti |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083920086 PECOS PAC ID: 5395975213 Enrollment ID: I20200928002555 |
Provider Name | Blake Williams Plyler |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1528599834 PECOS PAC ID: 9830467984 Enrollment ID: I20210719000212 |
Provider Name | Sarah K Passarello |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1083068134 PECOS PAC ID: 5294027538 Enrollment ID: I20210816002367 |
Provider Name | Rachel A Wingfield |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1053046219 PECOS PAC ID: 2062880321 Enrollment ID: I20221117003558 |
Provider Name | Haley M Quintana |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083231807 PECOS PAC ID: 7113396177 Enrollment ID: I20221214000121 |
Provider Name | Fernando Rafael Padilla Chacon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902053556 PECOS PAC ID: 0345559191 Enrollment ID: I20230125000132 |
Provider Name | Angela D Haynes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376996710 PECOS PAC ID: 9436444130 Enrollment ID: I20240426002009 |
Fred Y Murphy Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Dudney Rd, Ste C, Magnolia, AR 71753 Phone: 870-234-7101 Fax: 870-234-7717 | |
Southern Arkansas University Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E University, Suite 215, Magnolia, AR 71753 Phone: 870-235-5237 Fax: 870-235-5263 | |
Magnolia Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E Columbia, Magnolia, AR 71753 Phone: 870-235-3550 | |
Southern Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 E Stadium, Magnolia, AR 71753 Phone: 870-234-5995 Fax: 870-234-0278 | |
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James W Chambliss Md Pllc Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 E North St, Magnolia, AR 71753 Phone: 870-234-3802 Fax: 870-234-7386 | |
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