| |
1101-2 N Progress Avenue Siloam Springs AR 72761-4343 | |
(479) 549-3079 | |
(479) 549-3275 |
Full Name | |
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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 |
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1101-2 N Progress Avenue Po Box 1374 Siloam Springs AR 72761-1374 Ph: (479) 549-3079 | 1101-2 N Progress Avenue Siloam Springs AR 72761-4343 Ph: (479) 549-3079 |
NPI Number | 1760440226 |
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Provider Enumeration Date | 05/03/2006 |
Last Update Date | 02/13/2012 |
Medicare PECOS PAC ID | 2567361165 |
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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 | Mark E Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184676041 PECOS PAC ID: 4688608722 Enrollment ID: I20050919000984 |
Provider Name | Jody L Nichols |
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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 | 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 | Jacob Clark Hostetler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265829485 PECOS PAC ID: 5395048599 Enrollment ID: I20180822001241 |
Provider Name | Shealyn Berry |
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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 | Belinda Ann Burden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609364934 PECOS PAC ID: 1052656154 Enrollment ID: I20230901002362 |
Modern Gastroenterology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 E Central St, Siloam Springs, AR 72761 Phone: 479-335-5511 | |
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 | |
Premier Family Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 N Progress Ave, Siloam Springs, AR 72761 Phone: 479-225-5429 | |
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 |