Pearl Samuel (NPI# 1407114978, PAC ID# 9739486366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1407114978 |
| PAC ID by PECOS | 9739486366 |
| Professional Enrollment ID | I20160328000814 |
| Full Name | Pearl Samuel |
| Organization Legal Name | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Address |
2000 S 42nd St Suite 100 Rogers AR 72758-2001 |
| Phone Number | 4792739173 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| 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 |
| 040010 | MERCY HOSPITAL NORTHWEST ARKANSAS |
| Address | Phone | Organization |
|---|---|---|
| 2000 S 42nd St, Suite 100, Rogers, AR 72758-2001 | 4792739173 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES 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 |
| 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 |
| Michelle Manthe | Physician Assistant | 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 |
| Street Address |
2000 S 42ND ST SUITE 100 |
| City | ROGERS |
| State | AR |
| Zip | 72758-2001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Edward Smith | Family Medicine | Northwest Benton County Physician Services LLC | 2000 S 42nd St, Suite 100, Rogers, AR 72758-2001 |
| Heather D Thompson | Nurse Practitioner | Northwest Benton County Physician Services LLC | 2000 S 42nd St, Suite 100, Rogers, AR 72758-2001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick Nicholas Day Iii | Podiatry | Brooke A Bisbee Dpm Pa | 200 S 20th St B, Rogers, AR 72758-1100 |
| Brooke A Bisbee | Podiatry | Brooke A Bisbee Dpm Pa | 200 S 20th St B, Rogers, AR 72758-1100 |
| Nancy Mary Lee | Podiatry | Brooke A Bisbee Dpm Pa | 200 S 20th St B, Rogers, AR 72758-1100 |
| 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 |
| Find all physicians in zip 72758 | |||
| City | ROGERS |
| Zip Code | 72758 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROGERS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Pearl Samuel.
| 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.