Harmony Health Clinic Wynne, PLLC
Organization Active NPI Family Medicine Physician · Wynne, AR
NPI 1558085175 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1558085175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HARMONY HEALTH CLINIC WYNNE, PLLC
- Practice address
- 1920 Falls Blvd N
Wynne, AR 72396-4027 - Phone
- (870) 587-0800
- NPI assigned
- Sep 27, 2022
- Organization subpart
- No
Authorized official
- Name
- Stephen Andrew Rohrer, NP
- Title
- Co-Owner
- Phone
- (870) 587-0800
Corporate family (same tax ID) 5
Practitioners 14
-
Ashley Duncan, APRN
-
Michaela Erin Gardner, APRN
-
Sean Koch, MD
-
Aaron Jay Mitchell, M.D.
-
Joshua Wayne Moore, APRN-CNP
-
Whitney Reed, APRN
-
Jodi Renigar, APRN, FNP-BC
-
Stephen Rohrer, CNP
-
Zoe Weeks, MD
-
Jill Renee Davis, APRN
-
Hong-Van Nguyen, MD
-
Christian Marie Ann Garrett, DNP, APRN, CPNP-PC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221227001208 | AR | Part B Supplier - Clinic/Group Practice | 8527438019 |
Receives reassigned benefits from 4 practitioners Practice locations: Wynne, AR |
| O20230124003054 | AR | Part B Supplier - Clinic/Group Practice | 6305217688 |
Receives reassigned benefits from 14 practitioners Practice locations: Lonoke, AR; Scott, AR; Wynne, AR |
National Provider Directory
- Tax ID family
- Harmony HLTH Clin Wynne PLL
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1920 Falls Blvd N
Wynne, AR 72396-4027
Mailing address
1920 Falls Blvd N
Wynne, AR 72396-4027
Other providers in Wynne, AR
- Trint Arlon Gunnels
- Chelsea Dawn Halk
- Courtney D. Hall
- Kristin Hallmark
- Heather Hamm
- Harmony Health Clinic Wynne, PLLC
- Cambra Harris
- Katrina Ermayne Harris
- Leron Harris
- William Harris
All providers in Wynne, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. 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.