Allyson Moulton (NPI# 1366619132, PAC ID# 5698997336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1366619132 |
| PAC ID by PECOS | 5698997336 |
| Professional Enrollment ID | I20141112001272 |
| Full Name | Allyson Moulton |
| Organization Legal Name | FORT SMITH HMA PBC MANAGEMENT LLC |
| Address |
1001 Towson Ave Fort Smith AR 72901-4921 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8224172127 |
| Number of Group Practice Members | 90 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1001 Towson Ave, Fort Smith, AR 72901-4921 | FORT SMITH HMA PBC MANAGEMENT LLC | |
| 1500 Dodson Ave, Fort Smith, AR 72901-5182 | FORT SMITH HMA PBC MANAGEMENT LLC | |
| 923 Lexington Ave, Fort Smith, AR 72901-4943 | 4797097350 | FORT SMITH HMA PBC MANAGEMENT LLC |
| Organization Legal Name | FORT SMITH HMA PBC MANAGEMENT LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Kay Fiser | Nurse Practitioner | Fort Smith Hma Pbc Management LLC | 1200 Central St, Poteau, OK 74953-2320 |
| Wilson Cruz-leal | Family Practice | Fort Smith Hma Pbc Management LLC | 1500 Dodson Ave, Fort Smith, AR 72901-5182 |
| Chasidy A Mcallister | Nurse Practitioner | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Elizabeth Clark | Nurse Practitioner | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Rahim Khorassanizadeh | Endocrinology | Fort Smith Hma Pbc Management LLC | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 |
| John L Lange | Urology | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Robin G Smith | Radiation Oncology | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Lisa K Mcgraw | Family Practice | Fort Smith Hma Pbc Management LLC | 1500 Dodson Ave, Fort Smith, AR 72901-5182 |
| Roy Eugene Russell Jr. | Family Practice | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Vijay Kannam | Family Practice | Fort Smith Hma Pbc Management LLC | 1500 Dodson Ave, Fort Smith, AR 72901-5182 |
| Street Address |
1001 TOWSON AVE |
| City | FORT SMITH |
| State | AR |
| Zip | 72901-4921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haritha Machavarapu | Internal Medicine | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Fiorella Nawar | Critical Care (intensivists) | Baptist Health Services | 1001 Towson Ave, Suite 400, Fort Smith, AR 72901-4921 |
| Natalie D Jordan | Psychiatry | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Daniel D Padgett | Certified Registered Nurse Anesthetist (crna) | Northwest Arkansas Anesthesia Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Reed L Tenney | Certified Registered Nurse Anesthetist (crna) | Northwest Arkansas Anesthesia Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Ismail Ihmeidan | Diagnostic Radiology | Radiology Services Pa | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Amanda Combs | Nurse Practitioner | Scaup Inpatient Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Tara Rae Sandusky | Nurse Practitioner | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Kathryn Metcalf | Certified Registered Nurse Anesthetist (crna) | Northwest Arkansas Anesthesia Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Shane C Jamison | Certified Registered Nurse Anesthetist (crna) | Northwest Arkansas Anesthesia Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Chiovoloni | Clinical Social Worker | 1320 N B St, Suite 100, Fort Smith, AR 72901-3210 | |
| Jerrica J Thomas | Physical Therapy | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | |
| Charles K Wright | Family Medicine | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Ngoc Van Hoang | General Practice | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Bryan Holland Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| John C Lane | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Katherine A Irish Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Elizmary C Cyril | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Edward L Gills | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Lawrence C Price | Internal Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Find all physicians in zip 72901 | |||
| City | FORT SMITH |
| Zip Code | 72901 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FORT SMITH + GENERAL SURGERY |
Please comment or provide details below to improve the information on Allyson Moulton.
| 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.