Keith Bolyard (NPI# 1356319123, PAC ID# 2062460603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1356319123 |
| PAC ID by PECOS | 2062460603 |
| Professional Enrollment ID | I20060214000459 |
| Full Name | Keith Bolyard |
| Organization Legal Name | MERCY CLINIC FORT SMITH COMMUNITIES |
| Address |
3501 We Knight Dr Fort Smith AR 72903-6254 |
| Phone Number | 4797096700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| 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 |
| 041318 | MERCY HOSPITAL BOONEVILLE |
| 370112 | SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT |
| Address | Phone | Organization |
|---|---|---|
| 3501 We Knight Dr, Fort Smith, AR 72903-6254 | 4797096700 | 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 |
| Misty R Gonzalez | Family Medicine | Mercy Clinic Fort Smith Communities | 708 Pirates Way, Cedarville, AR 72932-9506 |
| 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 |
| Street Address |
3501 WE KNIGHT DR |
| City | FORT SMITH |
| State | AR |
| Zip | 72903-6254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Garlow | Orthopedic Surgery | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Thomas E Cheyne | Family Medicine | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Collin Lee Grimes | Physician Assistant | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Natalie R Strickland | Pain Management | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Heather Nicole Manchester | Certified Clinical Nurse Specialist (cns) | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Trent D Johnson | Orthopedic Surgery | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Patrick J Walton | Physician Assistant | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Mark Dotson | Podiatry | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| James Buie | Orthopedic Surgery | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Justin Benson Clayton | Orthopedic Surgery | Mercy Clinic Fort Smith Communities | 3501 We Knight Dr, Fort Smith, AR 72903-6254 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malcolm R Hutchins | Optometry | 5111 Rogers Ave, Suite 54, Fort Smith, AR 72903-2033 | |
| Kristen W Eckelhoff | Psychologist, Clinical | 5111 Rogers Ave, 526 Fort Smith Psychology, Fort Smith, AR 72903-2047 | |
| Dena Amerine Harris | Optometry | 4900 Rogers Ave, 103a, Fort Smith, AR 72903-2068 | |
| Wanda Vaughn | Optometry | 1021 S Waldron Rd, Fort Smith, AR 72903-2549 | |
| Kelly A Hokit | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Jessiela Venis Roberts | Family Medicine | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Thao Phuong Nguyen | Family Medicine | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Vikki L Sutterfield | Family Medicine | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Stefanie A Ellis | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Joseph Lee Speake | Family Medicine | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Find all physicians in zip 72903 | |||
| City | FORT SMITH |
| Zip Code | 72903 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FORT SMITH + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Keith Bolyard.
| 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.