Apex Family Medical Clinic, P.a.
Organization Active NPI Primary Care Clinic/Center · Rogers, AR
NPI 1437409109 · NPPES record last updated Sep 11, 2012
Key facts
- NPI
- 1437409109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- APEX FAMILY MEDICAL CLINIC, P.A.
- Practice address
- 5206 Village Pkwy Ste 10
Rogers, AR 72758-8137 - Phone
- (479) 631-2739
- NPI assigned
- Sep 11, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Caleb Gaston
- Title
- President
- Phone
- (479) 631-2739
Practitioners 4
-
Nicole Davis, APRN, FNP
-
Caleb O Gaston, M.D.
-
Dustin Paul Pope, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130212000191 | AR | Part B Supplier - Clinic/Group Practice | 3577717925 |
Receives reassigned benefits from 4 practitioners Practice locations: Rogers, AR |
National Provider Directory
Locations
503 Hospitality Ln
Lowell, AR 72745
Phone (479) 657-6600
5206 W Village Pkwy
Ste 10
Rogers, AR 72758
Phone (479) 379-1201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
5206 Village Pkwy Ste 10
Rogers, AR 72758-8137
Mailing address
161 San Jose Dr
Springdale, AR 72764-2537
Other providers in Rogers, AR
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- Ann L. Raebel, PT
- Amelia Anthony
- John Charles Antuna
- Ap Therapy LLC
- Apn Rainbow Pediatric Services, PLLC
- Kacey Churchwell Apple
- Aps Health and Infusion Nursing Services, LLC
- Katherine Dixie Arce
- Imanni Nicole Arellano
All providers in Rogers, AR · Primary Care Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.