MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES (NPI# 1619219474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619219474 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Practice Address |
2708 S Rife Medical Ln Ste T20 Rogers AR 72758-1469 |
| Mailing Address |
2708 Rife Medical Ln Suite T20 Rogers AR 72758-1452 |
| Practice Telephone | 4793383720 |
| Practice Fax Number | 4793383740 |
| Mailing Telephone | 4793383720 |
| Mailing Fax Number | 4793383740 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | BENNY J STOVER (VICE PRESIDENT-FINANCE) |
| Authorized Official Telephone | 4793382230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087371 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 2112 S 54th St, Rogers, AR 72758-8169 | 2018-03-20 |
| 1326389404 | Mercy Health Northwest Arkansas Communities | Clinic/Center | 3333 Pinnacle Hills Pkwy Ste 300-a, Rogers, AR 72758-9100 | 2013-03-14 |
| 1699016774 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 3333 S Pinnacle Hills Pkwy Ste 300, Rogers, AR 72758 | 2013-03-14 |
| 1356635411 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 2790 Bella Vista Way, Bella Vista, AR 72714-3706 | 2011-06-07 |
| 1831597913 | Mercy Health Northwest Arkansas Communities | Urology | 2100 S 54th St, Rogers, AR 72758-8169 | 2014-12-05 |
| 1760887582 | Mercy Health Northwest Arkansas Communities | Urology | 2100 S 54th St, Rogers, AR 72758-8169 | 2014-10-23 |
| 1407266760 | Mercy Health Northwest Arkansas Communities | Family Medicine | 1110 W Robinson Ave, Springdale, AR 72764-6233 | 2014-05-07 |
| 1063835908 | Mercy Health Northwest Arkansas Communities | Orthopaedic Surgery | 1101 S Horsebarn Rd, Rogers, AR 72758-8237 | 2014-01-29 |
| 1396173514 | Mercy Health Northwest Arkansas Communities | Audiologist | 1 Mercy Way, Bella Vista, AR 72714-3000 | 2013-10-25 |
| 1841632817 | Mercy Health Northwest Arkansas Communities | Urology | 200 S 20th St Ste C, Rogers, AR 72758-1100 | 2013-07-19 |
| Street Address |
2708 S RIFE MEDICAL LN STE T20 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124097951 | Akhtar K Siddiqui | Internal Medicine | 2708 S Rife Medical Ln Ste T20, Rogers, AR 72758 | 2006-03-15 |
| 1841610037 | Glauber Bruno Pereira | Internal Medicine | 2708 S Rife Medical Ln Ste T20, Rogers, AR 72758-1469 | 2014-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124589536 | Hoh Palliative Care, LLC | Family Medicine | 2910 Jenny Lind Rd Ste 4, Fort Smith, AR 72901-6733 | 2019-03-28 |
| 1639380686 | Paul Frank Wilbur | Family Medicine | 192 Patriot Dr, Mountain Home, AR 72653-6114 | 2007-05-24 |
| 1336359546 | Edwin Louis Bird | Family Medicine | 2915 Woodsgate Dr, Little Rock, AR 72211-4453 | 2007-05-23 |
| 1023235074 | James David Busby | Family Medicine | 1808 Fairfax St, Alma, AR 72921-4630 | 2007-04-19 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1518194711 | Clark Lander Smith | Family Medicine | 4301 W Markham St, #508, Little Rock, AR 72205-7101 | 2009-06-15 |
| 1023267218 | Hospice Peachtree, LLC | Family Medicine | 2910 Jenny Lind Rd, #4, Fort Smith, AR 72901-6735 | 2008-09-12 |
| 1841402252 | Pamela Gaborni | Family Medicine | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2007-05-06 |
| 1386865442 | Ferguson Health Care Inc | Family Medicine | 114 S Main St, Nashville, AR 71852-2406 | 2007-05-02 |
| 1598727273 | Andrea Mckinna Allen | Family Medicine | 14 Parkstone Cir, North Little Rock, AR 72116-7086 | 2006-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.