Mercy Clinic River Valley Musculoskeletal | |
3501 We Knight Dr Fort Smith AR 72903-6248 | |
(479) 709-6700 | |
(479) 790-6709 |
Full Name | Mercy Clinic River Valley Musculoskeletal |
---|---|
Speciality | Orthopaedic Surgery |
Location | 3501 We Knight Dr, Fort Smith, Arkansas |
Authorized Official Name and Position | Raymond Cole Goodman (PRESIDENT) |
Authorized Official Contact | 4793146100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mercy Clinic River Valley Musculoskeletal 2901 S 74th St Fort Smith AR 72903-5156 Ph: (479) 314-1101 | Mercy Clinic River Valley Musculoskeletal 3501 We Knight Dr Fort Smith AR 72903-6248 Ph: (479) 709-6700 |
NPI Number | 1699070649 |
---|---|
Provider Enumeration Date | 01/24/2011 |
Last Update Date | 01/12/2015 |
Medicare PECOS PAC ID | 3870668510 |
---|---|
Medicare Enrollment ID | O20110303000543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699070649 | NPI | - | NPPES |
186193002 | Medicaid | AR | |
200199350H | Medicaid | OK | |
DR1533 | Other | AR | RAILROAD MEDICARE |
5G406 | Other | AR | BLUE CROSS BLUE SHIELD |
Provider Name | Robert R Baker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992793293 PECOS PAC ID: 2567430986 Enrollment ID: I20040922001034 |
Provider Name | Vikki L Sutterfield |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447247267 PECOS PAC ID: 0143298422 Enrollment ID: I20040923000948 |
Provider Name | Michael S Miranda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699738195 PECOS PAC ID: 7911945506 Enrollment ID: I20050423000082 |
Provider Name | Thomas E Cheyne |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144298845 PECOS PAC ID: 5092751966 Enrollment ID: I20050630000399 |
Provider Name | Gregory T Jones |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1972571248 PECOS PAC ID: 3476501016 Enrollment ID: I20060214000435 |
Provider Name | Steven O Smith |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1083682108 PECOS PAC ID: 8820901721 Enrollment ID: I20060214000453 |
Provider Name | Keith Bolyard |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356319123 PECOS PAC ID: 2062460603 Enrollment ID: I20060214000459 |
Provider Name | David W Sudbrink |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1730118290 PECOS PAC ID: 1254334675 Enrollment ID: I20060824000144 |
Provider Name | Janet R Canada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649384413 PECOS PAC ID: 8224035571 Enrollment ID: I20061028000044 |
Provider Name | David Wayne Brooks |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1790861052 PECOS PAC ID: 5991749665 Enrollment ID: I20070730000201 |
Provider Name | John Mcclanahan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578586376 PECOS PAC ID: 2567564271 Enrollment ID: I20070907000453 |
Provider Name | Joseph Queeney |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1811919160 PECOS PAC ID: 2062505738 Enrollment ID: I20070911000806 |
Provider Name | Sean Baker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508060641 PECOS PAC ID: 0648346692 Enrollment ID: I20080827000722 |
Provider Name | Kenneth P Seiter |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316150949 PECOS PAC ID: 8224136395 Enrollment ID: I20080828000633 |
Provider Name | Margaret V Cox |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407010952 PECOS PAC ID: 9830243211 Enrollment ID: I20090819000680 |
Provider Name | Lance Barton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427085851 PECOS PAC ID: 3870633407 Enrollment ID: I20091212000012 |
Provider Name | Jennifer Burks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821027160 PECOS PAC ID: 6305986829 Enrollment ID: I20091214000750 |
Provider Name | John P Agent |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649217191 PECOS PAC ID: 2365582624 Enrollment ID: I20091216000595 |
Provider Name | Mark Dotson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689642019 PECOS PAC ID: 5698968956 Enrollment ID: I20101019000578 |
Provider Name | Mansoor Alam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174750962 PECOS PAC ID: 8325192354 Enrollment ID: I20110718000182 |
Provider Name | Connie Jin Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407140569 PECOS PAC ID: 9931378544 Enrollment ID: I20110816000049 |
Provider Name | Trent D Johnson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1588820864 PECOS PAC ID: 7315119591 Enrollment ID: I20111012000345 |
Provider Name | Jody Aaron Bradshaw |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1972722205 PECOS PAC ID: 5597929166 Enrollment ID: I20120611000560 |
Provider Name | Brian T Goodman |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1851448732 PECOS PAC ID: 4880843036 Enrollment ID: I20121003000074 |
Provider Name | Timothy J Garlow |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104086263 PECOS PAC ID: 2961645791 Enrollment ID: I20130827000434 |
Provider Name | Beena Syed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275840480 PECOS PAC ID: 0840425906 Enrollment ID: I20131025000295 |
Provider Name | Elizabeth Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730579152 PECOS PAC ID: 1153648407 Enrollment ID: I20150325000732 |
Provider Name | Demi D Merlino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144611922 PECOS PAC ID: 9931411394 Enrollment ID: I20150629000855 |
Provider Name | Maria Molineros Gonzales |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386077725 PECOS PAC ID: 1658687249 Enrollment ID: I20150827000772 |
Provider Name | Heather Nicole Manchester |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1285003509 PECOS PAC ID: 7315249174 Enrollment ID: I20160111001924 |
Provider Name | Candy L Lindsey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710206313 PECOS PAC ID: 5395919237 Enrollment ID: I20160608002067 |
Provider Name | Justin Benson Clayton |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699096768 PECOS PAC ID: 5991099129 Enrollment ID: I20160810000964 |
Provider Name | Natalie R Strickland |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1275760936 PECOS PAC ID: 2961728340 Enrollment ID: I20170104000218 |
Provider Name | Frederick Niegos |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1649277401 PECOS PAC ID: 2769432038 Enrollment ID: I20170130001707 |
Provider Name | Brooke M Youngwolfe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275074049 PECOS PAC ID: 4385921535 Enrollment ID: I20170426000940 |
Provider Name | Jason Daily |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1043290836 PECOS PAC ID: 6709024219 Enrollment ID: I20170524001258 |
Provider Name | Rajnish Rammohan |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386045763 PECOS PAC ID: 6406127232 Enrollment ID: I20170811002418 |
Provider Name | Thomas W Morris |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1457641664 PECOS PAC ID: 8820313505 Enrollment ID: I20180618001244 |
Provider Name | Amanda L Mcclure |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922566785 PECOS PAC ID: 1759622665 Enrollment ID: I20190402002522 |
Provider Name | Heather R Butler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679824197 PECOS PAC ID: 2163677360 Enrollment ID: I20190424000137 |
Provider Name | Katarzyna Halina Czerniecka-foxx |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1396003364 PECOS PAC ID: 2567796840 Enrollment ID: I20190619002947 |
Provider Name | Kenneth Clair Foxx |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1568720548 PECOS PAC ID: 9931490463 Enrollment ID: I20190625000218 |
Provider Name | Bryan Matthew Smith |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1578592895 PECOS PAC ID: 8426088808 Enrollment ID: I20190822000463 |
Provider Name | Lino Lamb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588212575 PECOS PAC ID: 9638401649 Enrollment ID: I20191024000545 |
Provider Name | Devon Consul |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710418876 PECOS PAC ID: 6002187556 Enrollment ID: I20211013001411 |
Provider Name | Ryan Scott Patton |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1780181370 PECOS PAC ID: 2163770884 Enrollment ID: I20230816004081 |
Provider Name | Timothy Zimmerman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528521127 PECOS PAC ID: 5395088215 Enrollment ID: I20231104000346 |
Provider Name | Ginger Gladden Medders |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1134488174 PECOS PAC ID: 3779716352 Enrollment ID: I20231109002954 |
Provider Name | Tyler Daniel Mckee |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1902338320 PECOS PAC ID: 8628490414 Enrollment ID: I20240315000819 |
Provider Name | Nicolas Khattar |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1326400060 PECOS PAC ID: 7113283318 Enrollment ID: I20240515003772 |
Provider Name | Joseph Lockwood |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1245612753 PECOS PAC ID: 2163714155 Enrollment ID: I20240606002021 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Rvpcs Northside Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Fort Smith Eye Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903 Phone: 479-452-1580 Fax: 479-452-6910 | |
Premise Health - Rheem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Old Greenwood Rd, Fort Smith, AR 72908 Phone: 479-242-4290 Fax: 479-242-4640 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |
Available Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903 Phone: 479-452-6362 Fax: 479-484-5652 |