Larry Wayne Weathers (NPI# 1770635047, PAC ID# 5597773275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1770635047 |
| PAC ID by PECOS | 5597773275 |
| Professional Enrollment ID | I20071022000802 |
| Full Name | Larry Wayne Weathers |
| Organization Legal Name | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Address |
613 Orchard Dr Berryville AR 72616-5013 |
| Phone Number | 4793384400 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| 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 |
| 041329 | MERCY HOSPITAL BERRYVILLE |
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| Address | Phone | Organization |
|---|---|---|
| 1 Mercy Way, Bella Vista, AR 72714-3000 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES | |
| 600 Memorial Dr, Bella Vista, AR 72714-1847 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES | |
| 3101 Se 14th St, Bentonville, AR 72712-4900 | 4796312100 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| 3101 Se 14th St, Mercy Laboratory Services Highway, Bentonville, AR 72712-4900 | 4793385849 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| 613 Orchard Dr, Berryville, AR 72616-5013 | 4793384400 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| 325 S 6th Pl, Lowell, AR 72745-9704 | 4797701140 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| 325 S 6th Pl, B, Lowell, AR 72745-9704 | 4797177512 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| 1101 S Horsebarn Rd, Mercy Clinic Occupational Medicine, Rogers, AR 72758-8237 | 4798025936 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| 2708 S Rife Medical Ln, Rogers, AR 72758-1452 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES | |
| 4600 Mercy Ln, Springdale, AR 72762-3070 | 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 |
| Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 1110 W Robinson Ave, Mercy Clinic Family Medicine W. R, Springdale, AR 72764-6233 |
| 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 |
| Street Address |
613 ORCHARD DR |
| City | BERRYVILLE |
| State | AR |
| Zip | 72616-5013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamra Lynn Cox | Nurse Practitioner | Mercy Clinic Springfield Communities | 613 Orchard Dr, Berryville, AR 72616-5013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles A Beard | Internal Medicine | 605 Eureka Ave, Suite C, Berryville, AR 72616-3035 | |
| Gary W Hill | Physical Therapy | 402 W College, Berryville, AR 72616-3142 | |
| Michael A. Law | Optometry | 404 W College, Berryville, AR 72616-3946 | |
| Jessica K Moschner | Nurse Practitioner | Mercy Clinic Springfield Communities | 207 Carter St, Berryville, AR 72616-4303 |
| Jose S Padilla Jr. | General Surgery | Mercy Clinic Springfield Communities | 211 Carter St, Berryville, AR 72616-4303 |
| Blake Allen Little | Pulmonary Disease | 214 Carter St, Berryville, AR 72616-4303 | |
| Cathy Barker-brown | Nurse Practitioner | Mercy Clinic Springfield Communities | 207 Carter St, Berryville, AR 72616-4303 |
| William K Flake | General Surgery | Mercy Clinic Springfield Communities | 207 Carter St, Berryville, AR 72616-4303 |
| Richard Dean Turbeville Jr. | Family Medicine | Mercy Clinic Springfield Communities | 207 Carter St, Berryville, AR 72616-4303 |
| Jonathan Fausett | Family Medicine | Mercy Clinic Springfield Communities | 207 Carter St, Berryville, AR 72616-4303 |
| Find all physicians in zip 72616 | |||
| City | BERRYVILLE |
| Zip Code | 72616 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | BERRYVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.