Myra J Grantham (NPI# 1528459799, PAC ID# 5193034924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528459799 |
| PAC ID by PECOS | 5193034924 |
| Professional Enrollment ID | I20151019001465 |
| Full Name | Myra J Grantham |
| Organization Legal Name | FAULKNER EMERGENCY GROUP, PLLC |
| Address |
2302 College Ave Conway AR 72034-6297 |
| Phone Number | 5013293831 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557694049 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2302 College Ave, Conway, AR 72034-6297 | 5013293831 | FAULKNER EMERGENCY GROUP, PLLC |
| Organization Legal Name | FAULKNER EMERGENCY GROUP, PLLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marketta Roberts | Nurse Practitioner | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Hassan Alakshar | Family Medicine | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Mary V Mustain | Emergency Medicine | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Jason A Talburt | Emergency Medicine | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Michael Jacob Fahr | Emergency Medicine | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Wendy N Roberts | Nurse Practitioner | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Tiffany J Epperson | Nurse Practitioner | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Evan W Gregory | Emergency Medicine | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Kimberly Blake | Nurse Practitioner | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Hamida Saba | Family Medicine | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Street Address |
2302 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip | 72034-6297 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Holmes | Certified Registered Nurse Anesthetist (crna) | Conway Anesthesiology Consultants, Pa | 2302 College Ave, Conway, AR 72034-6297 |
| Yalcin Hacioglu | Interventional Cardiology | Conway Regional Medical Center Inc | 2302 College Ave, Conway, AR 72034-6297 |
| Morris Eugene Kelley | Cardiovascular Disease (cardiology) | Conway Regional Medical Center Inc | 2302 College Ave, Conway, AR 72034-6297 |
| Carl M Clark | Certified Registered Nurse Anesthetist (crna) | Conway Anesthesiology Consultants, Pa | 2302 College Ave, Conway, AR 72034-6297 |
| Marketta Roberts | Nurse Practitioner | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Hassan Alakshar | Family Medicine | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Brent A Scroggins | Family Medicine | Conway Regional Medical Center Inc | 2302 College Ave, Conway, AR 72034-6297 |
| Mary V Mustain | Emergency Medicine | Faulkner Emergency Group, Pllc | 2302 College Ave, Conway, AR 72034-6297 |
| Bethany Roberts | Certified Registered Nurse Anesthetist (crna) | Conway Anesthesiology Consultants, Pa | 2302 College Ave, Conway, AR 72034-6297 |
| William C Roberts | Internal Medicine | Conway Regional Medical Center Inc | 2302 College Ave, Conway, AR 72034-6297 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Airiell M Schwab | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Elena Margarita Lopez | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Rhonda Love | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Troy Michael E Marsden | Psychologist, Clinical | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Monica A Dunn | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Jeanne M Churchill | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William H Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William A Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Amy M Burton | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Mitchell Reynolds | Occupational Therapy | Conway Orthopaedic and Sports Medicine Clinic | 550 Club Ln, Suite 1, Conway, AR 72034-3681 |
| Find all physicians in zip 72034 | |||
| City | CONWAY |
| Zip Code | 72034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONWAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Myra J Grantham.
| 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.