Misty R Gonzalez (NPI# 1013336296, PAC ID# 7315259470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013336296 |
| PAC ID by PECOS | 7315259470 |
| Professional Enrollment ID | I20170620000448 |
| Full Name | Misty R Gonzalez |
| Organization Legal Name | MERCY CLINIC FORT SMITH COMMUNITIES |
| Address |
708 Pirates Way Cedarville AR 72932-9506 |
| Phone Number | 4792353025 |
| Gender | F |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870668510 |
| Number of Group Practice Members | 284 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040062 | MERCY HOSPITAL FORT SMITH |
| Address | Phone | Organization |
|---|---|---|
| 708 Pirates Way, Cedarville, AR 72932-9506 | 4792353025 | MERCY CLINIC FORT SMITH COMMUNITIES |
| 2800 Fayetteville Rd, Van Buren, AR 72956-6523 | 4793144000 | MERCY CLINIC FORT SMITH COMMUNITIES |
| Organization Legal Name | MERCY CLINIC FORT SMITH COMMUNITIES |
| Physicians | 272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Jay Scott Sheridan | Cardiac Surgery | Mercy Clinic Fort Smith Communities | 7303 Rogers Ave, Suite 302, Fort Smith, AR 72903-4105 |
| Jill Kirsten Morphew | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 6101 Phoenix Ave, Fort Smith, AR 72903-5083 |
| Steven A. Wells | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 7301 Rogers Ave, Fort Smith, AR 72903-4100 |
| Peggy S Rosson | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 7306 Rogers Ave, Fort Smith, AR 72903-4164 |
| Kelly A Hokit | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Rajnish Rammohan | Podiatry | Mercy Clinic Fort Smith Communities | 5004 S U St, 101b Mercy Clinic Podiatry S U Street, Fort Smith, AR 72903-3600 |
| Timothy J Buffey | Family Medicine | Mercy Clinic Fort Smith Communities | 7003 Chad Colley Blvd, Barling, AR 72923-3000 |
| Jason Daily | Endocrinology | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Demi D Nesbitt | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 7800 Dallas St, Fort Smith, AR 72903-4278 |
| Timothy Ray Olive | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 2110 N Broadway St, Poteau, OK 74953-2501 |
| Street Address |
708 PIRATES WAY |
| City | CEDARVILLE |
| State | AR |
| Zip | 72932-9506 |
| City | CEDARVILLE |
| Zip Code | 72932 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CEDARVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Misty R Gonzalez.
| 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.