Matthew Self (NPI# 1306967377, PAC ID# 6305938192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1306967377 |
| PAC ID by PECOS | 6305938192 |
| Professional Enrollment ID | I20070919001015 |
| Full Name | Matthew Self |
| Organization Legal Name | RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC |
| Address |
1652 State Hwy 22 W Dardanelle AR 72834-2909 |
| Phone Number | 4792296148 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1759464035 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 | 4792296148 | RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC |
| Organization Legal Name | RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katerina Lynn Devore | Nurse Practitioner | River Valley Medical Center Family Clinic LLC | 215 N 4th St, Dardanelle, AR 72834-3713 |
| Street Address |
1652 STATE HWY 22 W |
| City | DARDANELLE |
| State | AR |
| Zip | 72834-2909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Karl Kirkland | Family Medicine | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 | |
| Richard Garrison | Registered Dietitian Or Nutrition Professional | The Kirkland Family Medical Center, Pa | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 |
| Kayla Manatt | Nurse Practitioner | The Kirkland Family Medical Center, Pa | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Bell | Urology | 2301 W Main St, Russellville, AR 72834-2557 | |
| Joe T Hebert | Nurse Practitioner | Bradley Bibb Md Pllc | 1176 State Hwy 22 W B, Amc Dardanelle, Dardanelle, AR 72834-3006 |
| Katerina Lynn Devore | Nurse Practitioner | River Valley Medical Center Family Clinic LLC | 215 N 4th St, Dardanelle, AR 72834-3713 |
| Robin Q Goodman | Pediatric Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Hailey Small | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Chet Alvis Crawford | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Kimberly D Whicker | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Payal Patel | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Jerry F Hodges | Family Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, River Valley Medical Center, Dardanelle, AR 72834-3802 |
| William P Scott | General Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Find all physicians in zip 72834 | |||
| City | DARDANELLE |
| Zip Code | 72834 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | DARDANELLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Matthew Self.
| 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.