| Dr Alice Marie Fagin, MD | |
|
1 Childrens Way # 210, Little Rock, AR 72202-3500 | |
| (501) 364-1100 | |
| (501) 364-4082 |
| Full Name | Dr Alice Marie Fagin |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 1 Childrens Way # 210, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194995837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A110727 (California) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | 35.149166 (Ohio) | Secondary |
| 208600000X | Surgery | 35.149166 (Ohio) | Primary |
| Entity Name | Orohealth Corporation A Non Profit Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703 |
| Entity Name | Richard F. Grossman, M.d., Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770881104 PECOS PAC ID: 4880879907 Enrollment ID: O20110504000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alice Marie Fagin, MD 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (855) 206-2096 | Dr Alice Marie Fagin, MD 1 Childrens Way # 210, Little Rock, AR 72202-3500 Ph: (501) 364-1100 |
Charles Wesley Wagner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12609 Saint Charles Blvd, Little Rock, AR 72211 Phone: 501-680-0738 | |
Sandra Minerva Garcia Osogobio, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 520, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Mrs. Elaine Marie Thrash, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 | |
Oleksiy Gudz, M.D.,PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 520-2, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5328 | |
Mrs. Chelsea Nicole Scherz, APRN Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Jared Tucker Gowen, MD Surgery Medicare: Medicare Enrolled Practice Location: University Of Arkansas For Medical Sciences, 4301 West Markham, Slot 520-2, Little Rock, AR 72205 Phone: 501-686-6627 | |
Dr. Jonathan Amarkwei Laryea, MB CHB Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Slot 520, Little Rock, AR 72205 Phone: 501-686-6648 Fax: 501-686-7280 |