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Physician Compare National (NPI:1407810062)

HEALTHCARE PROVIDER: TAMMY K POPE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1407810062
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9133447709
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150410000189
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name POPE
Individual professional last name
Provider First Name TAMMY
Individual professional first name
Provider Middle Name K
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1995
Individual professional's medical school graduation year
Primary Specialty ANESTHESIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GENERAL PRACTICE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GENERAL PRACTICE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name POPE FAMILY MEDICAL CLINIC, PLLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 5890958482
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 651 HERITAGE DR
Group Practice or individual's line 1 address
City SHERIDAN
Group Practice or individual's city
State AR
Group Practice or individual's state
Zip Code 721505000
Group Practice or individual's zip code (9 digits when available)
Phone Number 8709421301
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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