| Community Physicians Group | |
|
1101-2 N Progress Avenue Siloam Springs AR 72761-4343 | |
| (479) 549-3079 | |
| (479) 549-3275 |
| Full Name | Community Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1101-2 N Progress Avenue, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Kelly Chambers (BILLING MANAGER) |
| Authorized Official Contact | 4795493079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physicians Group 1101-2 N Progress Avenue Po Box 1374 Siloam Springs AR 72761-1374 Ph: (479) 549-3079 | Community Physicians Group 1101-2 N Progress Avenue Siloam Springs AR 72761-4343 Ph: (479) 549-3079 |
| NPI Number | 1760440226 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 02/13/2012 |
| Medicare PECOS PAC ID | 2567361165 |
|---|---|
| Medicare Enrollment ID | O20040102000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760440226 | NPI | - | NPPES |
| 100747540A | Medicaid | OK | |
| 5C090 | Other | AR | BCBS |
| 135299002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Madhulika Krish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538168505 PECOS PAC ID: 5395722599 Enrollment ID: I20040706001014 |
| Provider Name | Mitchell J. Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902856909 PECOS PAC ID: 8123003845 Enrollment ID: I20040909001385 |
| Provider Name | John E Caswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336198365 PECOS PAC ID: 5698713261 Enrollment ID: I20050422001192 |
| Provider Name | Mark E Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184676041 PECOS PAC ID: 4688608722 Enrollment ID: I20050919000984 |
| Provider Name | Jody L Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437217791 PECOS PAC ID: 3173625738 Enrollment ID: I20070228000254 |
| Provider Name | Ashish Mathur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245329663 PECOS PAC ID: 0143312702 Enrollment ID: I20070828000072 |
| Provider Name | Dan J Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083664890 PECOS PAC ID: 4587769583 Enrollment ID: I20090522000096 |
| Provider Name | Catherine E Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861482739 PECOS PAC ID: 1254315369 Enrollment ID: I20100309000670 |
| Provider Name | Roger W Youmans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568414704 PECOS PAC ID: 5597860593 Enrollment ID: I20100805000095 |
| Provider Name | Scott G Stinnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548210172 PECOS PAC ID: 3577668573 Enrollment ID: I20100805001184 |
| Provider Name | Daniel A Pummill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851341218 PECOS PAC ID: 3870698871 Enrollment ID: I20110304000454 |
| Provider Name | Lora M Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154371524 PECOS PAC ID: 1557255429 Enrollment ID: I20110609000681 |
| Provider Name | Cheryl B Kroeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730112574 PECOS PAC ID: 2466469879 Enrollment ID: I20120326000254 |
| Provider Name | Amy L Schochler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851397822 PECOS PAC ID: 1153340989 Enrollment ID: I20130913000646 |
| Provider Name | Ezra L Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851617757 PECOS PAC ID: 4880826585 Enrollment ID: I20141015000558 |
| Provider Name | Rex Lee Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861804627 PECOS PAC ID: 9032427562 Enrollment ID: I20170630000616 |
| Provider Name | Jacob Clark Hostetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265829485 PECOS PAC ID: 5395048599 Enrollment ID: I20180822001241 |
| Provider Name | Stacy L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548745334 PECOS PAC ID: 0042554545 Enrollment ID: I20181212001103 |
| Provider Name | Shealyn Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416548 PECOS PAC ID: 2365770104 Enrollment ID: I20190819000765 |
| Provider Name | Andrea J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801447834 PECOS PAC ID: 1658703020 Enrollment ID: I20191125000214 |
| Provider Name | Jaclyn Hastings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821523994 PECOS PAC ID: 1557613353 Enrollment ID: I20200810001422 |
| Provider Name | Jordyn Elizabeth Temple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346804812 PECOS PAC ID: 7517370851 Enrollment ID: I20220714003629 |
| Provider Name | Christopher Patrick Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288640 PECOS PAC ID: 8527380336 Enrollment ID: I20220720002651 |
| Provider Name | Jordan Scott Vallieres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144708058 PECOS PAC ID: 3577807049 Enrollment ID: I20230731003610 |
| Provider Name | Belinda Ann Burden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609364934 PECOS PAC ID: 1052656154 Enrollment ID: I20230901002362 |
| Provider Name | Kindal D Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477321917 PECOS PAC ID: 2365892437 Enrollment ID: I20240102002564 |
| Provider Name | Tracy L Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174070205 PECOS PAC ID: 9537065933 Enrollment ID: I20240123000285 |
Modern Gastroenterology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 E Central St, Siloam Springs, AR 72761 Phone: 479-335-5511 | |
Siloam Springs Sbhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 N Mount Olive St, Suite 1, Siloam Springs, AR 72761 Phone: 479-524-8175 Fax: 479-751-2878 | |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 451 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-3141 Fax: 479-751-2878 | |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 N Progress Ave, Siloam Springs, AR 72761 Phone: 479-549-4228 Fax: 479-751-2878 | |
Community Clinic Siloam Springs Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761 Phone: 479-751-7417 Fax: 479-751-2878 | |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Broadhurst St, Siloam Springs, AR 72761 Phone: 479-373-1591 Fax: 479-751-2878 |