Taylor Beauregard Kelamis (NPI# 1801385976, PAC ID# 4688922305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801385976 |
| PAC ID by PECOS | 4688922305 |
| Professional Enrollment ID | I20180813000058 |
| Full Name | Taylor Beauregard Kelamis |
| Organization Legal Name | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Address |
1110 W Robinson Ave Mercy Clinic Family Medicine W. R Springdale AR 72764-6233 |
| Phone Number | 4797518440 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648177873 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040010 | MERCY HOSPITAL NORTHWEST ARKANSAS |
| Address | Phone | Organization |
|---|---|---|
| 1110 W Robinson Ave, Mercy Clinic Family Medicine W. R, Springdale, AR 72764-6233 | 4797518440 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Organization Legal Name | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Physicians | 250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Lynn Sather | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 515 Enterprise Dr, 300 Mercy Clinic Behavioral Health En, Lowell, AR 72745-8982 |
| Melinda S Tucker | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72712-4589 |
| Dominic Amadeo Jacobelli | Sports Medicine | Mercy Health Northwest Arkansas Communities | 1000 S 52nd St, Mercy Clinic Orthopedic Rogers, Rogers, AR 72758-8610 |
| Kali Michelle Eddy | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 2100 S 54th St, Mercy Clinic Urology S 54th S, Rogers, AR 72758-8169 |
| Megan E Busch | Family Medicine | Mercy Health Northwest Arkansas Communities | 3101 Se 14th St, Bentonville, AR 72712-4900 |
| Manikandan Rajagopal | Internal Medicine | Mercy Health Northwest Arkansas Communities | 2710 Rife Medical Lane, Rogers, AR 72758-1452 |
| Robert Thaxton Wells | Gastroenterology | Mercy Health Northwest Arkansas Communities | 1 Mercy Way, Mercy Clinic Primary Care Bella V, Bella Vista, AR 72714-3000 |
| Raja Sekhar Dondeti | Family Medicine | Mercy Health Northwest Arkansas Communities | 4100 Sw I St, 100 Mercy Clinic Pediatrics I Street, Bentonville, AR 72713-0200 |
| Terryl J Ortego | Gastroenterology | Mercy Health Northwest Arkansas Communities | 116 W Monroe Ave, Mercy Clinic Gastroenterology Mon, Lowell, AR 72745-9682 |
| James D Byrum | Internal Medicine | Mercy Health Northwest Arkansas Communities | 1401 N Walton Blvd, Mercy Clinic Primary Care N. Walt, Bentonville, AR 72712-4676 |
| Street Address |
1110 W ROBINSON AVE MERCY CLINIC FAMILY MEDICINE W. R |
| City | SPRINGDALE |
| State | AR |
| Zip | 72764-6233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily M Turner | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 1110 W Robinson Ave, Mercy Clinic Family Medicine W. R, Springdale, AR 72764-6233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kris Honey | Occupational Therapy | Northwest Physicians LLC | 2422 N Thompson St A, Springdale, AR 72764-1773 |
| Maryalice Apn Kelly | Nurse Practitioner | Northwest Physicians LLC | 2422 N Thompson St, Suite A, Springdale, AR 72764-1773 |
| Shenandoah L Ware | Physical Therapy | Northwest Physicians LLC | 2422 N Thompson St A, Springdale, AR 72764-1773 |
| Amy B Peeples | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Carolyn S Williamson | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Arlene A Darick | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Brittany S Seifert | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 4700 S Thompson St, Suite C103, Springdale, AR 72764-2558 |
| Lance C Foster | Psychiatry | Medical Associates of Northwest Arkansas, Pa | 4700 S Thompson St, Suite C103, Springdale, AR 72764-2558 |
| Yvonne Paulette Couch | Nurse Practitioner | St. Francis House Nwa, Inc. | 420 N W End St, Elmdale School Based Health Center, Springdale, AR 72764-3002 |
| William M Rogers | Family Medicine | Washington Regional Medical System | 513 N Shiloh St, Shiloh Clinic Washington Regional, Springdale, AR 72764-3343 |
| Find all physicians in zip 72764 | |||
| City | SPRINGDALE |
| Zip Code | 72764 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRINGDALE + NURSE PRACTITIONER |
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| 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.