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NICOLE M. SCALLY MD PA NPI 1891186193


NPI Information

NPI: 1891186193
Provider Name: NICOLE M. SCALLY MD PA

Doing Business As: NORTHWEST ARKANSAS FAMILY MEDICINE AND OBSTETRICS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2000 S PROMENADE BLVD
SUITE 202
ROGERS, AR
ZIP 72758
Phone: (479) 282-2737
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NICOLE M. SCALLY MD PA is a family medicine in Rogers, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NICOLE M. SCALLY MD PA NPI is 1891186193. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwest Arkansas Family Medicine And Obstetrics.

The provider's business location address is:

2000 S PROMENADE BLVD
SUITE 202
ROGERS, AR
ZIP 72758-073
Phone: (479) 282-2737
Fax: (479) 316-4072

The provider's authorized official is Nicole Scally .
The authorized official title is Chairman/president/secretary and has the following contact phone number (479) 282-2737.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 3/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMC-3081ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15H508MEDICARE PINARKANSAS
2454629MEDICARE PINARKANSAS
3211449002MEDICAIDARKANSAS
4176772001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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