Mark Edgar Miller (NPI# 1184676041, PAC ID# 4688608722) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184676041 |
| PAC ID by PECOS | 4688608722 |
| Professional Enrollment ID | I20050919000984 |
| Full Name | Mark Edgar Miller |
| Organization Legal Name | INTEGRATED COMMUNITY CLINICS PA |
| Address |
2630 E Citizens Dr Suite 3 Fayetteville AR 72703-4797 |
| Phone Number | 4795279966 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567361165 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040010 | MERCY HOSPITAL NORTHWEST ARKANSAS |
| 040004 | WASHINGTON REGIONAL MEDICAL CENTER |
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| Address | Phone | Organization |
|---|---|---|
| 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 | 4795279966 | INTEGRATED COMMUNITY CLINICS PA |
| Organization Legal Name | INTEGRATED COMMUNITY CLINICS PA |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy L Johnson | Nurse Practitioner | Integrated Community Clinics Pa | 1261 E Tulsa Ave, Kansas, OK 74347-7026 |
| Ezra L Cole | Pediatric Medicine | Integrated Community Clinics Pa | 1101 -2 N Progress Ave, Siloam Springs, AR 72761-1374 |
| Teresa B Mckinney | Physician Assistant | Integrated Community Clinics Pa | 1250 W Valley Dr, Siloam Springs, AR 72761-3018 |
| Dan J Springer | Family Medicine | Integrated Community Clinics Pa | 451 S Holly St, Siloam Springs, AR 72761-3018 |
| Ashish Mathur | Family Medicine | Integrated Community Clinics Pa | 643 E 3rd St, Gentry, AR 72734-8258 |
| Cheryl B Kroeker | Emergency Medicine | Integrated Community Clinics Pa | 108 Main Ave, Chouteau, OK 74337-2842 |
| Lora M Collier | Family Medicine | Integrated Community Clinics Pa | 609 E Main St, Locust Grove, OK 74352-5139 |
| Michael Davis Payne Ii | Family Medicine | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Jamie L Mcdermott | Registered Dietitian Or Nutrition Professional | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Jacob C Hostetler | Family Medicine | Integrated Community Clinics Pa | 1121 Neo Loop, Grove, OK 74344-6046 |
| Street Address |
2630 E CITIZENS DR SUITE 3 |
| City | FAYETTEVILLE |
| State | AR |
| Zip | 72703-4797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan A Hueter | Family Medicine | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Kelly J Hardin | Nurse Practitioner | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Michael Davis Payne Ii | Family Medicine | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Jamie L Mcdermott | Registered Dietitian Or Nutrition Professional | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Mark A Bonner | Family Medicine | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Melissa Stacey Romero | Nurse Practitioner | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Brock Alan Johnson | Chiropractic | 2630 E Citizens Dr, Suite 6, Fayetteville, AR 72703-4797 | |
| Debra G Walker | Nurse Practitioner | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Amanda Lamb | Nurse Practitioner | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Mary Christine Haggard | Registered Dietitian Or Nutrition Professional | Access Urgent Care | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda R Pauls | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 3383 N Mana Court, Fayetteville, AR 72703 |
| Kevin Hurlbut | Physical Medicine and Rehabilitation | 153 E Monte Painter, Fayetteville, AR 72703 | |
| Karen C Reynolds | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Kamra E Mays | Psychologist, Clinical | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Mary Frances Daut | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Ornette L Gaines | Family Medicine | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Regina E Thurman | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Amberlyn B Naples | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Karen B Newton | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 82 W Sunbridge Dr, Washington Regional Endocrinology, Fayetteville, AR 72703-1822 |
| Michael Saitta | Rheumatology | 6 W Sunbridge Dr, Fayetteville, AR 72703-1822 | |
| Find all physicians in zip 72703 | |||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAYETTEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark Edgar Miller.
| 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.