Dominique Ertolacci (NPI# 1386291656, PAC ID# 7618208661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386291656 |
| PAC ID by PECOS | 7618208661 |
| Professional Enrollment ID | I20191007001372 |
| Full Name | Dominique Ertolacci |
| Organization Legal Name | SOUTH CENTRAL HOSPITALISTS, LLP |
| Address |
609 W Maple Ave Springdale AR 72764-5335 |
| Phone Number | 4797515711 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547493934 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 609 W Maple Ave, Springdale, AR 72764-5335 | 4797515711 | SOUTH CENTRAL HOSPITALISTS, LLP |
| Organization Legal Name | SOUTH CENTRAL HOSPITALISTS, LLP |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony A Meloy | Family Medicine | South Central Hospitalists, LLP | 3000 Medical Ctr Pkwy, Bentonville, AR 72712-3217 |
| Lance Lee Hamilton | Internal Medicine | South Central Hospitalists, LLP | 3000 Medical Ctr Pkwy, Bentonville, AR 72712-3217 |
| Mansoor Alam | Internal Medicine | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Andrea L Read | Pediatric Medicine | South Central Hospitalists, LLP | 609 W Maple Ave, Springdale, AR 72764-5335 |
| Okeyo Oghina | Nurse Practitioner | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Rachel Veach | Nurse Practitioner | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Steven Howard Farber | Internal Medicine | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Hunter Judkins | Family Medicine | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Renee Kassir | Family Medicine | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Seth M Barnes | Internal Medicine | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Street Address |
609 W MAPLE AVE |
| City | SPRINGDALE |
| State | AR |
| Zip | 72764-5335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Heim | Orthopedic Surgery | Northwest Physicians LLC | 609 W Maple Ave, Springdale, AR 72764-5335 |
| Steven B Johnson | Physician Assistant | Northwest Physicians LLC | 609 W Maple Ave, Springdale, AR 72764-5335 |
| Andrea L Read | Pediatric Medicine | South Central Hospitalists, LLP | 609 W Maple Ave, Springdale, AR 72764-5335 |
| Peter H Ball | Family Medicine | South Arkansas Emergency Physicians LLP | 609 W Maple Ave, Morthwest Medical Ctr, Springdale, AR 72764-5335 |
| Byron T Garibaldi | Emergency Medicine | South Arkansas Emergency Physicians LLP | 609 W Maple Ave, Morthwest Medical Ctr, Springdale, AR 72764-5335 |
| Brian D Melloy | Family Medicine | South Central Hospitalists, LLP | 609 W Maple Ave, Springdale, AR 72764-5335 |
| Brian T Hyatt | Psychiatry | Brian T Hyatt Md LLC | 609 W Maple Ave, Springdale, AR 72764-5335 |
| Daniel J Harris | Anesthesiology | Chase Placek Floyd Meggers | 609 W Maple Ave, Northwest Anesthesia Associates, Springdale, AR 72764-5335 |
| Patrick R Chase | Anesthesiology | Chase Placek Floyd Meggers | 609 W Maple Ave, Northwest Anesthesia Associates, Springdale, AR 72764-5335 |
| Joe A Olivi | General Surgery | Northwest Physicians LLC | 609 W Maple Ave, Springdale, AR 72764-5335 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kris Honey | Occupational Therapy | Northwest Physicians LLC | 2422 N Thompson St A, Springdale, AR 72764-1773 |
| Maryalice Apn Kelly | Nurse Practitioner | Northwest Physicians LLC | 2422 N Thompson St, Suite A, Springdale, AR 72764-1773 |
| Shenandoah L Ware | Physical Therapy | Northwest Physicians LLC | 2422 N Thompson St A, Springdale, AR 72764-1773 |
| Amy B Peeples | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Carolyn S Williamson | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Arlene A Darick | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Brittany S Seifert | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 4700 S Thompson St, Suite C103, Springdale, AR 72764-2558 |
| Lance C Foster | Psychiatry | Medical Associates of Northwest Arkansas, Pa | 4700 S Thompson St, Suite C103, Springdale, AR 72764-2558 |
| Yvonne Paulette Couch | Nurse Practitioner | St. Francis House Nwa, Inc. | 420 N W End St, Elmdale School Based Health Center, Springdale, AR 72764-3002 |
| William M Rogers | Family Medicine | Washington Regional Medical System | 513 N Shiloh St, Shiloh Clinic Washington Regional, Springdale, AR 72764-3343 |
| Find all physicians in zip 72764 | |||
| City | SPRINGDALE |
| Zip Code | 72764 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRINGDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dominique Ertolacci.
| 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.