| Uams Northwest Springdale Pcp | |
|
601 W Maple Ave Suite 102 Springdale AR 72764-5379 | |
| (479) 750-6585 | |
| (479) 750-6594 |
| Full Name | Uams Northwest Springdale Pcp |
|---|---|
| Speciality | Family Medicine |
| Location | 601 W Maple Ave, Springdale, 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 |
|---|---|
| Uams Northwest Springdale Pcp 601 W Maple Ave Suite 102 Springdale AR 72764-5379 Ph: (479) 750-6585 | Uams Northwest Springdale Pcp 601 W Maple Ave Suite 102 Springdale AR 72764-5379 Ph: (479) 750-6585 |
| NPI Number | 1487624490 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 4082528955 |
|---|---|
| Medicare Enrollment ID | O20050414000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487624490 | NPI | - | NPPES |
| 128750069 | Medicaid | AR | |
| 5B787 | Other | AR | BLUE CROSS AND BLUE SHIEL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| Provider Name | Ronald Keith Brimberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336129758 PECOS PAC ID: 8820045453 Enrollment ID: I20050405001148 |
| Provider Name | Linda M Mcghee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558330704 PECOS PAC ID: 7911947692 Enrollment ID: I20050512000268 |
| Provider Name | Larry D Wright |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255395752 PECOS PAC ID: 9234235151 Enrollment ID: I20070509000191 |
| Provider Name | Robert R Gullett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750493649 PECOS PAC ID: 6406923085 Enrollment ID: I20080923000839 |
| Provider Name | Derrick A Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609073022 PECOS PAC ID: 1456482074 Enrollment ID: I20100625000800 |
| Provider Name | Stacy C Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467488791 PECOS PAC ID: 1759349723 Enrollment ID: I20100810000593 |
| Provider Name | Michael D. Macechko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982833489 PECOS PAC ID: 6204090053 Enrollment ID: I20120607000531 |
| Provider Name | Hunter Judkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255306502 PECOS PAC ID: 1456256445 Enrollment ID: I20131101000187 |
| Provider Name | Marielie H Agesilas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073809158 PECOS PAC ID: 9739302068 Enrollment ID: I20140514000476 |
| Provider Name | Amanda Leigh Shirron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811312960 PECOS PAC ID: 0143448217 Enrollment ID: I20140903000384 |
| Provider Name | Brittany S Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548540115 PECOS PAC ID: 3971778432 Enrollment ID: I20150216000345 |
| Provider Name | Sheldon Riklon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053556332 PECOS PAC ID: 2567519614 Enrollment ID: I20160906001938 |
| Provider Name | William Brainerd Ventres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932251006 PECOS PAC ID: 5395731509 Enrollment ID: I20171030001194 |
| Provider Name | Sheena Carllee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235541012 PECOS PAC ID: 1850518820 Enrollment ID: I20200922003227 |
| Provider Name | Sharon Reece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982219663 PECOS PAC ID: 3476969411 Enrollment ID: I20210317000361 |
| Provider Name | Alan Padilla Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275092199 PECOS PAC ID: 8426439605 Enrollment ID: I20220719002807 |
| Provider Name | Natalie J Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649733478 PECOS PAC ID: 8628452711 Enrollment ID: I20220909000502 |
| Provider Name | Sarah Assem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104189836 PECOS PAC ID: 4284949736 Enrollment ID: I20221004000044 |
Jones School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 South Powell Street, Springdale, AR 72764 Phone: 479-750-8865 Fax: 479-751-2878 | |
Medexpress Primary Care - Springdale Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 S 40th St, Springdale, AR 72762 Phone: 479-756-1702 Fax: 479-756-1742 | |
Shiloh Clinic Washington Regional Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 N Shiloh St, Springdale, AR 72764 Phone: 479-419-9902 Fax: 479-419-9950 | |
Northwest Arkansas Clinic For Families, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 W Robinson Ave, Springdale, AR 72764 Phone: 479-751-8440 Fax: 479-751-8417 | |
Metro Springdale Treatment Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 W Sunset Ave, Ste B, Springdale, AR 72762 Phone: 479-725-2555 Fax: 479-725-2562 | |
Ozark Senior Healthcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 794-459-9004 Fax: 479-213-8142 | |
Springdale Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3291 S Thompson St, D101, Springdale, AR 72764 Phone: 479-419-9955 |