Uca Student Health Clinic | |
201 Donaghey Ave Conway AR 72035-5001 | |
(501) 450-3136 | |
(501) 450-3370 |
Full Name | Uca Student Health Clinic |
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Speciality | Family Medicine |
Location | 201 Donaghey Ave, Conway, Arkansas |
Authorized Official Name and Position | Chad Lairamore (ASSOCIATE DEAN) |
Authorized Official Contact | 5014503136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Uca Student Health Clinic 201 Donaghey Ave Uca Student Health Center Conway AR 72035-5001 Ph: (501) 450-3136 | Uca Student Health Clinic 201 Donaghey Ave Conway AR 72035-5001 Ph: (501) 450-3136 |
NPI Number | 1912543240 |
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Provider Enumeration Date | 11/21/2019 |
Last Update Date | 03/21/2023 |
Medicare PECOS PAC ID | 0042612244 |
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Medicare Enrollment ID | O20210712000255 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912543240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Randy J Pastor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710983465 PECOS PAC ID: 4688658412 Enrollment ID: I20040617000804 |
Provider Name | Leah M Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033329701 PECOS PAC ID: 5991864290 Enrollment ID: I20081031000094 |
Provider Name | Mary Jane Pettit |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1801054747 PECOS PAC ID: 7214085687 Enrollment ID: I20090423000609 |
Provider Name | Rebecca Michelle Gray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497998041 PECOS PAC ID: 2860543824 Enrollment ID: I20090702000313 |
Provider Name | Virginia Hensley Seamon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801182647 PECOS PAC ID: 4981874955 Enrollment ID: I20110830000517 |
Provider Name | Jennifer E Cox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992125595 PECOS PAC ID: 6204058670 Enrollment ID: I20141119002098 |
Provider Name | Tisha Jenkins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912230889 PECOS PAC ID: 7719207414 Enrollment ID: I20150520002051 |
Provider Name | Stacy E Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134356942 PECOS PAC ID: 0840538013 Enrollment ID: I20190213001885 |
Provider Name | Amber Harrell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063710713 PECOS PAC ID: 7618306119 Enrollment ID: I20200404000214 |
Provider Name | Christopher Rigsby |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659823219 PECOS PAC ID: 1254733876 Enrollment ID: I20210706000804 |
Provider Name | Maysoon Faik Biller |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1902052921 PECOS PAC ID: 8820489909 Enrollment ID: I20211228000944 |
Provider Name | Brent Gregg |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1558652610 PECOS PAC ID: 6901297944 Enrollment ID: I20211229001221 |
Provider Name | Richelle Leigh Weese |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1427168558 PECOS PAC ID: 5597156471 Enrollment ID: I20220104000591 |
Provider Name | Candice Rae Robinson |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1740380351 PECOS PAC ID: 2163813049 Enrollment ID: I20220104000943 |
Provider Name | Kathryn Weaver |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1457507170 PECOS PAC ID: 6406248368 Enrollment ID: I20220126002754 |
Provider Name | Jennifer R. Simpson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1548430937 PECOS PAC ID: 6800289166 Enrollment ID: I20220209000363 |
Provider Name | Towino Paramby |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1538482138 PECOS PAC ID: 6406240076 Enrollment ID: I20220224000551 |
Provider Name | Ashley Megan Mcclain |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518622257 PECOS PAC ID: 1254725328 Enrollment ID: I20220307001521 |
Provider Name | Amber Lynn Lingle Goff |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1164545661 PECOS PAC ID: 4486049046 Enrollment ID: I20220317000226 |
Provider Name | Chad Lairamore |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861198707 PECOS PAC ID: 7719350453 Enrollment ID: I20230825000890 |
Provider Name | Nancy B Ellis |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922339910 PECOS PAC ID: 9032565171 Enrollment ID: I20231026001610 |
Provider Name | Tiffany Vaughan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861528358 PECOS PAC ID: 2961858980 Enrollment ID: I20231027001157 |
Provider Name | Kayla Gowin |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1437521127 PECOS PAC ID: 0648626077 Enrollment ID: I20240412003766 |
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