Joanne L Roehr
NICOLE M SCALLY MD PA


Address: 2000 S Promenade Blvd, Suite 202, Rogers, AR 72758-8609
Phone: 4792822737

Joanne L Roehr (NPI# 1740505775, PAC ID# 6204061674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1740505775
PAC ID by PECOS 6204061674
Professional Enrollment ID I20160407000349
Full Name Joanne L Roehr
Organization Legal Name NICOLE M SCALLY MD PA
Address 2000 S Promenade Blvd
Suite 202
Rogers
AR 72758-8609
Phone Number 4792822737
Gender F
Medical School LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2010
Primary Specialty FAMILY PRACTICE
Secondary Specialties OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 8527368570
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
021312 SAMUEL SIMMONDS MEMORIAL HOSPITAL
241369 UNITED HOSPITAL DISTRICT

Other Locations

Address Phone Organization
2000 S Promenade Blvd, Suite 202, Rogers, AR 72758-8609 4792822737 NICOLE M SCALLY MD PA
2000 S Promenade Blvd, Rogers, AR 72758-8609 4792822737 NICOLE M SCALLY MD PA

Organization Information

Organization Legal Name NICOLE M SCALLY MD PA
Physicians 1

Office Location

Street Address 2000 S PROMENADE BLVD
SUITE 202
City ROGERS
State AR
Zip 72758-8609

Physicians in the same location

Name Specialty Organization Address
Nicole M Scally Family Medicine 2000 S Promenade Blvd, Suite 202, Rogers, AR 72758-8609

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Name Specialty Organization Address
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Bobby Ray Linville Clinical Social Worker Midamericare Pllc 301 S 24th St, Innisfree Health and Rehab, Rogers, AR 72758-1116
Kaitlyn R Stambaugh Physical Therapy Hill and Ironside Ltd 201 S 19th St, Suite S, Rogers, AR 72758-1123
Katherine Shook Clinical Social Worker Pt Concepts Pllc 204 S 24th St, Rogers, AR 72758-1129
Audrey A Adams Clinical Social Worker Pt Concepts Pllc 204 S 24th St, Rogers, AR 72758-1129
Pamela J. Tannehill Clinical Social Worker Pt Concepts Pllc 204 S 24th St, Rogers, AR 72758-1129
Kristie Morgan Clinical Social Worker Pt Concepts Pllc 204 S 24th St, Rogers, AR 72758-1129
Debra K Bauer Clinical Social Worker Pt Concepts Pllc 204 S 24th St, Rogers, AR 72758-1129
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Competitor

Search similar physicians

City ROGERS
Zip Code 72758
Specialty FAMILY PRACTICE
City + Specialty ROGERS + FAMILY PRACTICE

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Dataset Information

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.

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