Main Street Medical Clinic, P.A.
NPI 1841298791ActiveOrganization· Internal Medicine· Benton, AR
Internal Medicine in Benton, Arkansas, registered in NPPES in July 2005. The authorized official on file is Sheryl Wilchman, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1841298791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2005 |
| Last updated in NPPES | May 20, 2021 |
| Certified by provider | May 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MC-2252 | AR |
| Pediatrics | 208000000X | MC-2252 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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