Michelle Manthe (NPI# 1194990366, PAC ID# 6406998046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194990366 |
| PAC ID by PECOS | 6406998046 |
| Professional Enrollment ID | I20100120000835 |
| Full Name | Michelle Manthe |
| Organization Legal Name | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Address |
101 Sun Meadow Dr Centerton AR 72719-9610 |
| Phone Number | 4797950426 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3577503689 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| Address | Phone | Organization |
|---|---|---|
| 101 Sun Meadow Dr, Centerton, AR 72719-9610 | 4797950426 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| 1615 W Persimmon St, Suite B, Rogers, AR 72756-3383 | 4796367192 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| 2000 S 42nd St, Suite 100, Rogers, AR 72758-2001 | 4792739173 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| 3721 E Hwy 412, Suite C, Siloam Springs, AR 72761-8010 | 4792153090 | SILOAM SPRINGS CLINIC COMPANY LLC |
| 603 N Progress Ave, Siloam Springs, AR 72761-4353 | 4792153000 | SILOAM SPRINGS CLINIC COMPANY LLC |
| Organization Legal Name | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kory Dee Miskin | Podiatry | Northwest Benton County Physician Services LLC | 601 Sw Regional Airport Blvd, Bentonville, AR 72712-9256 |
| Pearl Samuel | Family Medicine | Northwest Benton County Physician Services LLC | 2000 S 42nd St, Suite 100, Rogers, AR 72758-2001 |
| Valerie Bedwell | Nurse Practitioner | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Christopher Stephen Baranyk I | General Practice | Northwest Benton County Physician Services LLC | 4052 E Vanburen, Suite A, Eureka Springs, AR 72632-9328 |
| Maria Christina M Judit | Geriatric Medicine | Northwest Benton County Physician Services LLC | 1102 Nw Lowes Ave, Bentonville, AR 72712-4978 |
| Randy D Conover | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Erin Michelle Kwyzla | Nurse Practitioner | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Gregory Ryan Spears | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Kelsey Danielle Gilley | Certified Nurse Midwife (cnm) | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| George R Declerk | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Street Address |
101 SUN MEADOW DR |
| City | CENTERTON |
| State | AR |
| Zip | 72719-9610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy D Conover | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Erin Michelle Kwyzla | Nurse Practitioner | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Gregory Ryan Spears | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| George R Declerk | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| David J Foscue | General Practice | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Scott R Musick | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Kylie Quick Rhodes | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Renetta R Nichols | Nurse Practitioner | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| David Allen Storm | Nurse Practitioner | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Norman G Tubb | Family Practice | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance Faddis | Internal Medicine | Mercy Health Northwest Arkansas Communities | 1225 E Centerton Blvd, Mercy Clinic Primary Care Centerton, Centerton, AR 72719-1225 |
| Kyler Todd Offenbacker | Physical Therapy | Serc Rehabilitation Partners LLC | 1240 E Centerton Blvd, Centerton, AR 72719-1300 |
| Anne Marie Cope | Physical Therapy | 1128 E Centerton Blvd, Centerton, AR 72719-6058 | |
| Carolyn Reeves | Internal Medicine | 1415 E Centerton Blvd, Centerton, AR 72719-7050 | |
| Megan Jo Petty | Optometry | Petty and Petty, P. A. | 101 Dawn Dr, Centerton, AR 72719-9314 |
| Regan S Petty | Optometry | Petty and Petty, P. A. | 101 Dawn Dr, Centerton, AR 72719-9314 |
| Jacob Joseph Dufour | Optometry | Petty and Petty, P. A. | 101 Dawn Dr, Centerton, AR 72719-9314 |
| Sarah Jane Brinkley | Clinical Nurse Specialist | 805 W Centerton Blvd, Centerton, AR 72719-9705 |
| City | CENTERTON |
| Zip Code | 72719 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CENTERTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michelle Manthe.
| 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.