Timothy Waack (NPI# 1881603272, PAC ID# 7113068305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1881603272 |
| PAC ID by PECOS | 7113068305 |
| Professional Enrollment ID | I20100111000220 |
| Full Name | Timothy Waack |
| Organization Legal Name | COOPER CLINIC PA |
| Address |
6801 Rogers Ave Fort Smith AR 72903-4067 |
| Phone Number | 4794783510 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1153219621 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 4794783510 | COOPER CLINIC PA |
| 7001 Rogers Ave, Fort Smith, AR 72903-4073 | COOPER CLINIC PA |
| Organization Legal Name | COOPER CLINIC PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Manus | Cardiovascular Disease (cardiology) | Cooper Clinic Pa | 7001 Rogers Ave, Fort Smith, AR 72903-4073 |
| Rebecca A Sanders | Nurse Practitioner | Cooper Clinic Pa | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Lane T Carter | Physical Therapy | Cooper Clinic Pa | 7001 Rogers Ave, Fort Smith, AR 72903-4073 |
| Randolph P Fleck | Cardiovascular Disease (cardiology) | Cooper Clinic Pa | 7001 Rogers Ave, Fort Smith, AR 72903-4073 |
| Kent Magrini | Podiatry | Cooper Clinic Pa | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Rowland P Vernon Jr. | Thoracic Surgery | Cooper Clinic Pa | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Wayne Enns | Family Practice | Cooper Clinic Pa | 303 S 5th St, Paris, AR 72855-4501 |
| Rebecca Fleck | Hematology | Cooper Clinic Pa | 7001 Rogers Ave, Fort Smith, AR 72903-4073 |
| Gary Widner | Physical Therapy | Cooper Clinic Pa | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Cheryl Maxwell | Physical Therapy | Cooper Clinic Pa | 7001 Rogers Ave, Fort Smith, AR 72903-4073 |
| Street Address |
6801 ROGERS AVE |
| City | FORT SMITH |
| State | AR |
| Zip | 72903-4067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Daily | Endocrinology | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Jacob K Joseph | Gastroenterology | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Larry G Linson | Otolaryngology | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Lauren A Deckelman | Physician Assistant | Urologic Specialists of Oklahoma Inc | 6801 Rogers Ave, Suite 202, Fort Smith, AR 72903-4067 |
| Jennifer Anne Julian | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fl 2, Fort Smith, AR 72903-4067 |
| Melanie A Gramling | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Brent S Reeves | Internal Medicine | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Sumer A Phillips | Internal Medicine | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Patricia I France | Certified Registered Nurse Anesthetist (crna) | Western Arkansas Obstetric Anesthesia LLC | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| Mandy Lee Fluitt | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 6801 Rogers Ave, Fort Smith, AR 72903-4067 |
| 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 | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FORT SMITH + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Timothy Waack.
| 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.