| Pope Family Medical Clinic, Pllc | |
|
651 Heritage Dr Sheridan AR 72150-5000 | |
| (870) 942-1301 | |
| (870) 942-1305 |
| Full Name | Pope Family Medical Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 651 Heritage Dr, Sheridan, Arkansas |
| Authorized Official Name and Position | Tammy Pope (PRESIDENT) |
| Authorized Official Contact | 8709421301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pope Family Medical Clinic, Pllc 651 Heritage Dr Sheridan AR 72150-5000 Ph: (870) 942-1301 | Pope Family Medical Clinic, Pllc 651 Heritage Dr Sheridan AR 72150-5000 Ph: (870) 942-1301 |
| NPI Number | 1326312539 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 12/09/2019 |
| Medicare PECOS PAC ID | 5890958482 |
|---|---|
| Medicare Enrollment ID | O20120517000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326312539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
| Provider Name | John Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356320832 PECOS PAC ID: 9537244777 Enrollment ID: I20090119000088 |
| Provider Name | Elizabeth Kay Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982845939 PECOS PAC ID: 0244379881 Enrollment ID: I20091120000306 |
| Provider Name | Tammy K Pope |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407810062 PECOS PAC ID: 9133447709 Enrollment ID: I20150410000189 |
| Provider Name | Martha V Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548626310 PECOS PAC ID: 0345548988 Enrollment ID: I20160414000349 |
| Provider Name | April Michele Rainbolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740811793 PECOS PAC ID: 6204936891 Enrollment ID: I20200309000265 |
| Provider Name | Jessica Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083371686 PECOS PAC ID: 1557735370 Enrollment ID: I20230317002207 |
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