Monique Thammavong (NPI# 1275932253, PAC ID# 9234453192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275932253 |
| PAC ID by PECOS | 9234453192 |
| Professional Enrollment ID | I20150123001756 |
| Full Name | Monique Thammavong |
| Organization Legal Name | BAPTIST HEALTH SERVICES |
| Address |
14 Gothic Ridge Rd Suite B Van Buren AR 72956-6565 |
| Phone Number | 4794710011 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648514133 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| 040018 | SPARKS MEDICAL CENTER VAN BUREN |
| Address | Phone | Organization |
|---|---|---|
| 14 Gothic Ridge Rd, Suite B, Van Buren, AR 72956-6565 | 4794710011 | BAPTIST HEALTH SERVICES |
| Organization Legal Name | BAPTIST HEALTH SERVICES |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nata T Matthews | Nurse Practitioner | Baptist Health Services | 6100 Massard Rd, Fort Smith, AR 72916-8886 |
| Daniel Christopher Schroyer | Radiation Oncology | Baptist Health Services | 1502 Dodson Ave, Fort Smith, AR 72901-5128 |
| Haritha Machavarapu | Internal Medicine | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Linda Blasingame | Nurse Practitioner | Baptist Health Services | 209 Pointer Trl W A, Baptist Health Family and Pediatric, Van Buren, AR 72956-2238 |
| Kyle B Basham | General Surgery | Baptist Health Services | 5500 Ellsworth Rd, Baptist Health Urology Clinic Fort, Fort Smith, AR 72903-3222 |
| Thanh Le | Family Medicine | Baptist Health Services | 937 Hwy 64 E, Baptist Health Family Clinic Alma, Alma, AR 72921-7382 |
| Charles Moussallem | Nephrology | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| David Miller | Thoracic Surgery | Baptist Health Services | 600 Lexington Ave, Fort Smith, AR 72901-4737 |
| Gary Highfill | Otolaryngology | Baptist Health Services | 520 Towson Ave, Suite A, Fort Smith, AR 72901-4624 |
| Charles M Gooden | General Surgery | Baptist Health Services | 923 Lexington Ave, Fort Smith, AR 72901-4943 |
| Street Address |
14 GOTHIC RIDGE RD SUITE B |
| City | VAN BUREN |
| State | AR |
| Zip | 72956-6565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent V Witherington | Family Medicine | Baptist Health Services | 14 Gothic Ridge Rd, Van Buren, AR 72956-6565 |
| Ai-chau Nguyen | Nurse Practitioner | Baptist Health Services | 14 Gothic Ridge Rd, Van Buren, AR 72956-6565 |
| Stephen Carney | Family Medicine | Baptist Health Services | 14 Gothic Ridge Rd, Van Buren, AR 72956-6565 |
| Chansamorn Nouansavane | Family Medicine | Baptist Health Services | 14 Gothic Ridge Rd, Suite A, Van Buren, AR 72956-6565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Mccormick | Physician Assistant | E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956 | |
| Palak J Patel | Physician Assistant | Storm-petrel Inpatient Services LLC | E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956 |
| Jennifer Tetirick | Nurse Practitioner | Storm-petrel Inpatient Services LLC | E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956 |
| Kevin Doolittle | Physical Therapy | 115 Pointer W Trl B, Van Buren, AR 72956-2236 | |
| Carolyn M Dillard | Family Medicine | 109 W Pointer Trail, Van Buren, AR 72956-2236 | |
| Linda Blasingame | Nurse Practitioner | Baptist Health Services | 209 Pointer Trl W A, Baptist Health Family and Pediatric, Van Buren, AR 72956-2238 |
| Kelly Leigh Graham | Optometry | 113 N Plaza Ct, Van Buren, AR 72956-2269 | |
| Cameron Mitchell | Chiropractic | 520 E Pointer Trl, B, Van Buren, AR 72956-2304 | |
| Lance G Clouse | Nurse Practitioner | 623 Fayetteville Rd, Van Buren, AR 72956-3418 | |
| Joseph F Followell | Optometry | 825 Fayetteville Rd, Van Buren, AR 72956-3422 | |
| Find all physicians in zip 72956 | |||
| City | VAN BUREN |
| Zip Code | 72956 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VAN BUREN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Monique Thammavong.
| 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.