Marie Pham-russell (NPI# 1376538090, PAC ID# 3072594662) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1376538090 |
PAC ID by PECOS | 3072594662 |
Professional Enrollment ID | I20040528000617 |
Full Name | Marie Pham-russell |
Organization Legal Name | RIVER VALLEY PRIMARY CARE SERVICES |
Address |
3202 N 6th St Fort Smith AR 72904-4164 |
Phone Number | 4797833900 |
Gender | F |
Credential | NP |
Graduation Year | 2003 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0042274276 |
Number of Group Practice Members | 20 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3202 N 6th St, Fort Smith, AR 72904-4164 | 4797833900 | RIVER VALLEY PRIMARY CARE SERVICES |
9755 W State Hwy 22, Ratcliff, AR 72951-9000 | 4796355300 | RIVER VALLEY PRIMARY CARE SERVICES |
Organization Legal Name | RIVER VALLEY PRIMARY CARE SERVICES |
Physicians | 19 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wansley M Harrison | Clinical Social Worker | River Valley Primary Care Services | 421 N Main St, Mulberry, AR 72947-8574 |
Ashley N Gattis | Nurse Practitioner | River Valley Primary Care Services | 708 W Main St, Clarksville, AR 72830-3411 |
Janet E Guyer | Family Medicine | River Valley Primary Care Services | 4 Hwy 71 N E, Mountainburg, AR 72946 |
Thinh D Nguyen | Family Medicine | River Valley Primary Care Services | 4003 Massard Rd, Fort Smith, AR 72903-6221 |
Laurie S Fisher | Family Medicine | River Valley Primary Care Services | 635 Childers Ave, Lamar, AR 72846-8161 |
Nathan H Bennett | Internal Medicine | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
Ronald D. Schlabach | Family Medicine | River Valley Primary Care Services | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 |
Shawn S Miller | Family Medicine | River Valley Primary Care Services | 4003 Massard Rd, Fort Smith, AR 72903-6221 |
Stephannie M Cawiezell | Nurse Practitioner | River Valley Primary Care Services | 635 Childers Ave, Lamar, AR 72846-8161 |
Wendy A Gaston | Nurse Practitioner | River Valley Primary Care Services | 4 Hwy 71 N E, Mountainburg, AR 72946 |
Street Address |
3202 N 6TH ST |
City | FORT SMITH |
State | AR |
Zip | 72904-4164 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wanda Mcmicheal | Family Medicine | River Valley Primary Care Services | 3202 N 6th St, Fort Smith, AR 72904-4164 |
Dana Kim Pulliam | Nurse Practitioner | River Valley Primary Care Services | 3202 N 6th St, Fort Smith, AR 72904-4164 |
Lisa A Toth | Nurse Practitioner | River Valley Primary Care Services | 3202 N 6th St, Fort Smith, AR 72904-4164 |
Laura Ann Henson | Nurse Practitioner | River Valley Primary Care Services, Inc | 3202 N 6th St, Fort Smith, AR 72904-4164 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ronald D. Schlabach | Family Medicine | River Valley Primary Care Services | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 |
Chansamone Phomakay | Family Medicine | Baptist Health Services | 4700 Kelley Hwy, Suite A, Fort Smith, AR 72904-5024 |
Rahim Khorassanizadeh | Endocrinology | Fort Smith Hma Pbc Management LLC | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 |
City | FORT SMITH |
Zip Code | 72904 |
Specialty | NURSE PRACTITIONER |
City + Specialty | FORT SMITH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marie Pham-russell.
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.