DR. MATTHEW PATOKA (NPI# 1053623066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053623066 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW PATOKA |
| Credential | M.D. |
| Practice Address |
4077 Elm Springs Rd # 105 Springdale AR 72762-3748 |
| Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
| Practice Telephone | 4799272100 |
| Mailing Telephone | 8703472534 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-7969 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 198678001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8970 Market St, Dover, AR 728379110 | 4793313880 | 4793313788 |
| 145 N Curtis Ave, Pea Ridge, AR 727513407 | 8703472534 |
| Street Address |
4077 ELM SPRINGS RD # 105 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935114 | Angela Jo Craig | Nurse Practitioner | 4077 Elm Springs Rd # 105, Springdale, AR 72762-3748 | 2018-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1225450026 | Sanford Elmer Hutson IIi | Family Medicine | 506 Fairway Cir, Springdale, AR 72764-1027 | 2014-01-13 |
| 1881035244 | Aaron Zabriskie | Family Medicine | 2158 Butterfield Coach Rd Ste 100, Springdale, AR 72764-9142 | 2013-07-15 |
| 1356780233 | Claire Servy | Family Medicine | 610 E Emma Ave, Suite C, Springdale, AR 72764-4634 | 2013-06-24 |
| 1922361740 | Lynnette Anne Morrison | Family Medicine | 1160 S 40th St, Springdale, AR 72762-4832 | 2012-06-18 |
| 1720374804 | Pierrette Larisse Laure Tantchou | Family Medicine | 813 Founders Park Dr E Ste 101, Springdale, AR 72762-6321 | 2011-06-27 |
| 1053556332 | Sheldon Riklon | Family Medicine | 610 E Emma Ave Ste C, Springdale, AR 72764-4685 | 2008-12-15 |
| 1700058641 | Dorman and Dorman Pa | Family Medicine | 1471 W Sunset Ave, Springdale, AR 72764 | 2008-04-01 |
| 1982876140 | Cassat Family Medicine, Pa | Family Medicine | 1022 Jones Rd, Suite B, Springdale, AR 72762-0705 | 2008-03-27 |
| 1689866725 | Thomas Benjamin De Miranda | Family Medicine | 1910 Windsor Ave, Springdale, AR 72764-9316 | 2007-08-13 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.