Carl R Magness (NPI# 1548345606, PAC ID# 4981888559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1548345606 |
PAC ID by PECOS | 4981888559 |
Professional Enrollment ID | I20110405000951 |
Full Name | Carl R Magness |
Organization Legal Name | DICKSON STREET CLINIC |
Address |
102 W Dickson Fayetteville AR 72701-5219 |
Phone Number | 4795211114 |
Gender | M |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 1975 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 3173707841 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
102 W Dickson, Fayetteville, AR 72701-5219 | 4795211114 | DICKSON STREET CLINIC |
Organization Legal Name | DICKSON STREET CLINIC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diana J Holte | Nurse Practitioner | Dickson Street Clinic | 102 W Dickson, Fayetteville, AR 72701-5219 |
Street Address |
102 W DICKSON |
City | FAYETTEVILLE |
State | AR |
Zip | 72701-5219 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diana J Holte | Nurse Practitioner | Dickson Street Clinic | 102 W Dickson, Fayetteville, AR 72701-5219 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelsey O'connor Camp | Nurse Practitioner | Karas Family Walk In Clinic | 1041 N Garland Ave, Fayetteville, AR 72701-1722 |
Hannah Nagy Smith | Nurse Practitioner | Karas Family Walk In Clinic | 1041 N Garland Ave, Fayetteville, AR 72701-1722 |
Mindy Kazery | Nurse Practitioner | Karas Family Walk In Clinic | 1041 N Garland Ave, Fayetteville, AR 72701-1722 |
Abby R Rudolph | Nurse Practitioner | Karas Family Walk In Clinic | 1041 N Garland Ave, Fayetteville, AR 72701-1722 |
Robert C Karas | Emergency Medicine | Karas Family Walk In Clinic | 1041 N Garland Ave, Fayetteville, AR 72701-1722 |
Lauren Harrison | Nurse Practitioner | Karas Family Walk In Clinic | 1041 N Garland Ave, Fayetteville, AR 72701-1722 |
Veronica Dockery | Physician Assistant | Karas Family Walk In Clinic | 1041 N Garland Ave, Fayetteville, AR 72701-1722 |
Joe P Rouse | Family Medicine | 767 W N St, Suite 5, Fayetteville, AR 72701-1865 | |
Susan H Rogerson | General Practice | 767 W N St, Fayetteville, AR 72701-1865 | |
Hamilton R Hart | Family Practice | 767 W N St, Fayetteville, AR 72701-1865 | |
Find all physicians in zip 72701 |
City | FAYETTEVILLE |
Zip Code | 72701 |
Specialty | GENERAL PRACTICE |
City + Specialty | FAYETTEVILLE + GENERAL PRACTICE |
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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.