Texas Digestive Disease Consultants Pllc | |
3901 Parkway Cir Ste 550 Springdale AR 72762-6362 | |
(479) 346-1850 | |
Not Available |
Full Name | Texas Digestive Disease Consultants Pllc |
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Speciality | Internal Medicine |
Location | 3901 Parkway Cir Ste 550, Springdale, Arkansas |
Authorized Official Name and Position | Stephanie Summerall (SVP, PAYER RELATIONS) |
Authorized Official Contact | 2144242200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Texas Digestive Disease Consultants Pllc Po Box 35629 Dallas TX 75235-0629 Ph: () - | Texas Digestive Disease Consultants Pllc 3901 Parkway Cir Ste 550 Springdale AR 72762-6362 Ph: (479) 346-1850 |
NPI Number | 1508400425 |
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Provider Enumeration Date | 11/04/2019 |
Last Update Date | 02/13/2024 |
Medicare PECOS PAC ID | 3375531379 |
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Medicare Enrollment ID | O20191219000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508400425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Jaymie H Pennington |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1780894717 PECOS PAC ID: 0244214294 Enrollment ID: I20040616001001 |
Provider Name | John D Moore |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174707897 PECOS PAC ID: 8224013099 Enrollment ID: I20040624000251 |
Provider Name | Holly B Trotta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346467495 PECOS PAC ID: 0840240743 Enrollment ID: I20050303001065 |
Provider Name | Chad E Paschall |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1780627034 PECOS PAC ID: 4385680511 Enrollment ID: I20050628001120 |
Provider Name | Curtis D. Greenway |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1891799722 PECOS PAC ID: 0648182931 Enrollment ID: I20051025000021 |
Provider Name | Sidney Lawrence Vinson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215970561 PECOS PAC ID: 6305869603 Enrollment ID: I20060118001019 |
Provider Name | Angela K Nutt |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1427052208 PECOS PAC ID: 2567374853 Enrollment ID: I20060720000196 |
Provider Name | Gary A Thomas |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1831125731 PECOS PAC ID: 7719956119 Enrollment ID: I20070509000718 |
Provider Name | Debra F. Morrison |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1992709836 PECOS PAC ID: 2466364757 Enrollment ID: I20090327000127 |
Provider Name | Jeremy Craig Davis |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770566796 PECOS PAC ID: 1759420334 Enrollment ID: I20091120000677 |
Provider Name | Joy D Wilcox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962635359 PECOS PAC ID: 9436290269 Enrollment ID: I20091230000568 |
Provider Name | Jeffrey C Ellison |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407040488 PECOS PAC ID: 2264565035 Enrollment ID: I20100729000964 |
Provider Name | Kevin Heath |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1992702336 PECOS PAC ID: 7517932387 Enrollment ID: I20101013000620 |
Provider Name | Tom L Meziere |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750385563 PECOS PAC ID: 5092627380 Enrollment ID: I20101110000628 |
Provider Name | Bernard D Stokes |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1205830080 PECOS PAC ID: 8921910217 Enrollment ID: I20101117001126 |
Provider Name | Michael Bruce Johnson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134123813 PECOS PAC ID: 2668384959 Enrollment ID: I20101118000374 |
Provider Name | Cheryl L Walsh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780986372 PECOS PAC ID: 9436334943 Enrollment ID: I20110427000525 |
Provider Name | Sara L Wilkerson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548540396 PECOS PAC ID: 1456523158 Enrollment ID: I20110930000055 |
Provider Name | Brent Fikes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609165364 PECOS PAC ID: 9638310030 Enrollment ID: I20130727000266 |
Provider Name | Bobby Rupjyoti Kakati |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1124252960 PECOS PAC ID: 5294047015 Enrollment ID: I20150708001851 |
Provider Name | Crystal A Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992162523 PECOS PAC ID: 0042518870 Enrollment ID: I20160412001621 |
Provider Name | David W Backstedt |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245587203 PECOS PAC ID: 0941579791 Enrollment ID: I20170711000100 |
Provider Name | Kevin J O Keefe |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1053612069 PECOS PAC ID: 6406127851 Enrollment ID: I20170803002935 |
Provider Name | Jeffrey D Robertson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1366709404 PECOS PAC ID: 9638329410 Enrollment ID: I20180510000589 |
Provider Name | Amanda Lashea Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760949713 PECOS PAC ID: 3577804558 Enrollment ID: I20190402000691 |
Provider Name | Shelby L Cochran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700343209 PECOS PAC ID: 6305189853 Enrollment ID: I20190524000048 |
Provider Name | Dana Lynn Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932681574 PECOS PAC ID: 4981938354 Enrollment ID: I20190619002194 |
Provider Name | Matthew T Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831722271 PECOS PAC ID: 4789014523 Enrollment ID: I20200420001177 |
Provider Name | Chelsea D Marquis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780238782 PECOS PAC ID: 2365852787 Enrollment ID: I20201112003320 |
Provider Name | Jennifer Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881272342 PECOS PAC ID: 5294131785 Enrollment ID: I20210908003827 |
Provider Name | Scott Wardlaw |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1992152508 PECOS PAC ID: 6204121627 Enrollment ID: I20220627002758 |
Provider Name | Kelly Allison Gibbs |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1871955963 PECOS PAC ID: 4789979410 Enrollment ID: I20220628003832 |
Provider Name | Spencer Hansen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1164954814 PECOS PAC ID: 6800169384 Enrollment ID: I20230612003109 |
Provider Name | Brian Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790560589 PECOS PAC ID: 2365898475 Enrollment ID: I20231026000316 |
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: 479-927-1044 Fax: 479-927-1829 | |
Springdale Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3291 S Thompson St, D101, Springdale, AR 72764 Phone: 479-419-9955 |