Natasha M Wantulok (NPI# 1457747297, PAC ID# 2365758653) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457747297 |
| PAC ID by PECOS | 2365758653 |
| Professional Enrollment ID | I20180718002218 |
| Full Name | Natasha M Wantulok |
| Organization Legal Name | POCAHONTAS MEDICAL CLINIC PA |
| Address |
2901 Medical Ctr Dr Suite 500 Pocahontas AR 72455-9438 |
| Phone Number | 8708924467 |
| Gender | F |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688651029 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040047 | FIVE RIVERS MEDICAL CENTER |
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 | 8708924467 | POCAHONTAS MEDICAL CLINIC PA |
| Organization Legal Name | POCAHONTAS MEDICAL CLINIC PA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cammie M Sifford | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Brent Holt | Family Medicine | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Shannon J Pogue | Nurse Practitioner | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Lauren D Garner | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Ashley M Karr | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Marissa E Hogan | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Holly T Brigance | Nurse Practitioner | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Justin Dawson | Family Medicine | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Danny Bransford Holt | General Practice | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Alexander J Baltz | Family Medicine | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Street Address |
2901 MEDICAL CTR DR SUITE 500 |
| City | POCAHONTAS |
| State | AR |
| Zip | 72455-9438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cammie M Sifford | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Lauren D Garner | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Ashley M Karr | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Marissa E Hogan | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Tiffany A Baker | Nurse Practitioner | Pocahontas Medical Clinic Pa | 2901 Medical Ctr Dr, Suite 500, Pocahontas, AR 72455-9438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Holt | Family Medicine | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Shannon J Pogue | Nurse Practitioner | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Holly T Brigance | Nurse Practitioner | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Justin Dawson | Family Medicine | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Danny Bransford Holt | General Practice | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Alexander J Baltz | Family Medicine | Pocahontas Medical Clinic Pa | 1601 Market Dr, Pocahontas, AR 72455-1491 |
| Patricia J Hoose | Physical Therapy | Five Rivers Therapy Services Limited Partnership | 1415 Commerce Dr, A, Pocahontas, AR 72455-1495 |
| Derek Cashmer | Physical Therapy | Five Rivers Therapy Services Limited Partnership | 1415 Commerce Dr, A, Pocahontas, AR 72455-1495 |
| Christopher J Robinson | Physical Therapy | Five Rivers Therapy Services Limited Partnership | 1415 Commerce Dr, A, Pocahontas, AR 72455-1495 |
| Kaleb Jarrett Brown | Physical Therapy | Five Rivers Therapy Services Limited Partnership | 1415 Commerce Dr, A, Pocahontas, AR 72455-1495 |
| Find all physicians in zip 72455 | |||
| City | POCAHONTAS |
| Zip Code | 72455 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POCAHONTAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Natasha M Wantulok.
| 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.