Kory Dee Miskin (NPI# 1215376058, PAC ID# 0941441018) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1215376058 |
| PAC ID by PECOS | 0941441018 |
| Professional Enrollment ID | I20161216000033 |
| Full Name | Kory Dee Miskin |
| Organization Legal Name | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Address |
601 Sw Regional Airport Blvd Bentonville AR 72712-9256 |
| Phone Number | 4795532664 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3577503689 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| 040001 | SILOAM SPRINGS REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 601 Sw Regional Airport Blvd, Bentonville, AR 72712-9256 | 4795532664 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Organization Legal Name | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pearl Samuel | Family Medicine | Northwest Benton County Physician Services LLC | 2000 S 42nd St, Suite 100, Rogers, AR 72758-2001 |
| Valerie Bedwell | Nurse Practitioner | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Christopher Stephen Baranyk I | General Practice | Northwest Benton County Physician Services LLC | 4052 E Vanburen, Suite A, Eureka Springs, AR 72632-9328 |
| Maria Christina M Judit | Geriatric Medicine | Northwest Benton County Physician Services LLC | 1102 Nw Lowes Ave, Bentonville, AR 72712-4978 |
| Randy D Conover | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Erin Michelle Kwyzla | Nurse Practitioner | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Gregory Ryan Spears | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Kelsey Danielle Gilley | Certified Nurse Midwife (cnm) | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Michelle Manthe | Physician Assistant | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| George R Declerk | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Street Address |
601 SW REGIONAL AIRPORT BLVD |
| City | BENTONVILLE |
| State | AR |
| Zip | 72712-9256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Campbell | Nurse Practitioner | Pain Treatment Centers of America Pllc | 1502 Se 28th St, Suite 8, Bentonville, AR 72712-0076 |
| Dorothy L Mellon | Otolaryngology | 1502 Se 28th St, Suite 6, Bentonville, AR 72712-0076 | |
| Christian C Robertozzi | Physical Therapy | Bentonville Physical Therapy Specialists | 907 Se Village Loop, Suite 5, Bentonville, AR 72712-2229 |
| Kara Jackson | Physical Therapy | Bentonville Physical Therapy Specialists | 907 Se Village Loop, Suite 5, Bentonville, AR 72712-2229 |
| Lisa A Bearden | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Amy Deanne Sarver | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Amber J Sills | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Eric B. Santos | Chiropractic | 1706 Se Walton Blvd, Suite 6, Bentonville, AR 72712-3201 | |
| Valerie Bedwell | Nurse Practitioner | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Kelsey Danielle Gilley | Certified Nurse Midwife (cnm) | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Find all physicians in zip 72712 | |||
| City | BENTONVILLE |
| Zip Code | 72712 |
| Specialty | PODIATRY |
| City + Specialty | BENTONVILLE + PODIATRY |
Please comment or provide details below to improve the information on Kory Dee Miskin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.