John W Wolverton (NPI# 1821044470, PAC ID# 5092616227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1821044470 |
| PAC ID by PECOS | 5092616227 |
| Professional Enrollment ID | I20040120000249 |
| Full Name | John W Wolverton |
| Organization Legal Name | SOUTHWEST FAMILY PRACTICE PA |
| Address |
6924 Geyer Springs Rd Little Rock AR 72209-2728 |
| Phone Number | 5015621463 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 7113144627 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040007 | CHI-ST VINCENT INFIRMARY |
| Address | Phone | Organization |
|---|---|---|
| 6924 Geyer Springs Rd, Little Rock, AR 72209-2728 | 5015621463 | SOUTHWEST FAMILY PRACTICE PA |
| Organization Legal Name | SOUTHWEST FAMILY PRACTICE PA |
| Physicians | 1 |
| Street Address |
6924 GEYER SPRINGS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72209-2728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert T Jimmerson Ii | Family Medicine | 6917 Geyer Springs Rd, Suite 4, Little Rock, AR 72209-2727 | |
| Hollie M Porter | Clinical Social Worker | Preferred Family Healthcare Inc | 9914 Interstate 30, Little Rock, AR 72209-4201 |
| Jamie B Johnson | Optometry | 8511 Geyer Springs Rd, Little Rock, AR 72209-4949 | |
| Terry W Kuykendall | Optometry | 8511 Geyer Springs Rd, Little Rock, AR 72209-4949 | |
| Thien Cong Van | Optometry | Envision Eye Care | 8801 Baseline Rd, Little Rock, AR 72209-5901 |
| Sophear Seng | Optometry | Envision Eye Care | 8801 Baseline Rd, Little Rock, AR 72209-5901 |
| Edwin B Dunaway | Optometry | 8801 Baseline Rd, Little Rock, AR 72209-5901 | |
| Nancy E Kahn | Family Medicine | American Current Care of Arkansas Pa | 10101 Mabelvale Plaza Dr, Suite 3, Little Rock, AR 72209-5932 |
| Sylvie J. Stark | Physician Assistant | American Current Care of Arkansas Pa | 10101 Mabelvale Plaza Dr, Suite 3, Little Rock, AR 72209-5932 |
| Scott W Carle | Preventative Medicine | American Current Care of Arkansas Pa | 10101 Mabelvale Plaza Dr, Suite 3, Little Rock, AR 72209-5932 |
| Find all physicians in zip 72209 | |||
| City | LITTLE ROCK |
| Zip Code | 72209 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LITTLE ROCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John W Wolverton.
| 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.