| Sherwood Family Medicial Center | |
|
1308 E Kiehl Ave Sherwood AR 72120-3040 | |
| (501) 835-0703 | |
| (501) 833-1716 |
| Full Name | Sherwood Family Medicial Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1308 E Kiehl Ave, Sherwood, Arkansas |
| Authorized Official Name and Position | Will L Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherwood Family Medicial Center 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Sherwood Family Medicial Center 1308 E Kiehl Ave Sherwood AR 72120-3040 Ph: (501) 835-0703 |
| NPI Number | 1649219577 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20040702000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649219577 | NPI | - | NPPES |
| 57064 | Other | AR | BLUE CROSS GROUP |
| 128322002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Ashley B Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114960218 PECOS PAC ID: 3577549716 Enrollment ID: I20040628000877 |
| Provider Name | Laura E Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801830740 PECOS PAC ID: 3577590652 Enrollment ID: I20050720000557 |
| Provider Name | Jane F Miers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366485393 PECOS PAC ID: 6406981349 Enrollment ID: I20100317001005 |
| Provider Name | Devon R Ballard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548203664 PECOS PAC ID: 6204962533 Enrollment ID: I20100325000982 |
| Provider Name | Martha L Rueda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962607457 PECOS PAC ID: 6305960386 Enrollment ID: I20100827000102 |
| Provider Name | David B Gerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992765010 PECOS PAC ID: 5092886705 Enrollment ID: I20110314000550 |
| Provider Name | John A Cockerell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669867099 PECOS PAC ID: 7113228529 Enrollment ID: I20180626002307 |
| Provider Name | John Robert Winningham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922489483 PECOS PAC ID: 8325355100 Enrollment ID: I20180711001164 |
| Provider Name | Jheanelle N Dawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811494974 PECOS PAC ID: 9436585981 Enrollment ID: I20200203000237 |
Healthcare Express Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1554 Country Club Road, Sherwood, AR 72120 Phone: 903-791-9355 Fax: 903-793-0496 | |
North Pulaski Diagnostic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2215 Wildwood Ave, Suite 201, Sherwood, AR 72120 Phone: 501-833-8400 Fax: 501-833-0266 | |
Primary Care 360 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Shadow Oaks Dr, Sherwood, AR 72120 Phone: 501-486-4045 | |
Comprehensive Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7481 Warden Rd, Sherwood, AR 72120 Phone: 501-588-4164 Fax: 501-377-9232 | |
North River Surgery Center Anesthesia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 Wildwood Ave, Sherwood, AR 72120 Phone: 501-834-5777 Fax: 501-834-0126 | |
Skinner Family Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 E Kiehl Ave, Sherwood, AR 72120 Phone: 501-992-2020 Fax: 501-992-2021 | |
Arkansas Vein Care Clinics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Shadow Oaks Dr, Sherwood, AR 72120 Phone: 571-206-5444 Fax: 571-206-5444 |