Jose A Fontanilla (NPI# 1497712640, PAC ID# 7517958499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1497712640 |
| PAC ID by PECOS | 7517958499 |
| Professional Enrollment ID | I20040519001522 |
| Full Name | Jose A Fontanilla |
| Organization Legal Name | NORTHWEST PHYSICIANS LLC |
| Address |
4077 Elm Springs Rd Springdale AR 72762-3748 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244213213 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| 040010 | MERCY HOSPITAL NORTHWEST ARKANSAS |
| 040001 | SILOAM SPRINGS REGIONAL HOSPITAL |
| 040004 | WASHINGTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 | 8708632000 | SOUTH CENTRAL HOSPITALISTS, LLP |
| 4077 Elm Springs Rd, Springdale, AR 72762-3748 | NORTHWEST PHYSICIANS LLC | |
| 601 W Maple Ave, Suite 101, Springdale, AR 72764-5370 | 4797573174 | NORTHWEST PHYSICIANS LLC |
| 601 W Maple Ave, Springdale, AR 72764-5374 | NORTHWEST PHYSICIANS LLC | |
| 609 W Maple Ave, Springdale, AR 72764-5335 | 4797515711 | SOUTH CENTRAL HOSPITALISTS, LLP |
| Organization Legal Name | NORTHWEST PHYSICIANS LLC |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emilia Wobga-pasiah | Family Medicine | Northwest Physicians LLC | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 |
| James Robert Feher | Nurse Practitioner | Northwest Physicians LLC | 601 W Maple Ave, Springdale, AR 72764-5374 |
| Kris Honey | Occupational Therapy | Northwest Physicians LLC | 2422 N Thompson St A, Springdale, AR 72764-1773 |
| Heron B Martin | Nurse Practitioner | Northwest Physicians LLC | 3057 Springdale Ave, Springdale, AR 72762-4346 |
| Dorothee S Mecum | Psychiatry | Northwest Physicians LLC | 601 W Maple, Suite 101, Springdale, AR 72764-5370 |
| Serena Michelle Pierson | Obstetrics/gynecology | Northwest Physicians LLC | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 |
| Matthew R. Patoka | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Larry D Coker | Family Medicine | Northwest Physicians LLC | 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704-6541 |
| Adam Baird Mccall | Family Medicine | Northwest Physicians LLC | 5501 Willow Creek Dr, Springdale, AR 72762-8707 |
| Leann W Metheny | Nurse Practitioner | Northwest Physicians LLC | 212 W Monroe Ave, Suite A, Lowell, AR 72745-9451 |
| Street Address |
4077 ELM SPRINGS RD |
| City | SPRINGDALE |
| State | AR |
| Zip | 72762-3748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R. Patoka | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Logan Rochelle Matthews | Nurse Practitioner | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Emmanuel Obi | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Angela Jo Craig | Nurse Practitioner | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Cesar Hurtado | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Oyenike Adigun-awonaike | Nurse Practitioner | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Aaron Zabriskie | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| David Lynn Wigginton Jr. | Physician Assistant | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Michelle Chua Ang Poland | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Suite 105, Springdale, AR 72762-3748 |
| Jeffrey Bearden | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Julie Rogerson | Physical Therapy | 4001 Wagon Wheel Rd, Apexnetwork Physical Therapy, Springdale, AR 72762-0137 | |
| David B Williamson | Physical Therapy | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 | |
| Kyle Andrew Ford | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Brandon P Jones | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Meredith R Grubbs | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Valerie A Miller | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| John H Kendrick | General Surgery | 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762-0899 | |
| Edward R Virgil | Chiropractic | 7253 W Sunset Ave, Suite I, Springdale, AR 72762-0991 | |
| Rick Weum | Chiropractic | 2109 W Huntsville Ave, Springdale, AR 72762-2833 | |
| Heron B Martin | Nurse Practitioner | Northwest Physicians LLC | 3057 Springdale Ave, Springdale, AR 72762-4346 |
| Find all physicians in zip 72762 | |||
| City | SPRINGDALE |
| Zip Code | 72762 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | SPRINGDALE + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Jose A Fontanilla.
| 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.