| Dr Deidre Wyrick, MD | |
|
1 Childrens Way # 653, Little Rock, AR 72202-3500 | |
| (501) 364-1100 | |
| (501) 364-4082 |
| Full Name | Dr Deidre Wyrick |
|---|---|
| Gender | Female |
| Speciality | Surgery - Surgical Critical Care |
| Location | 1 Childrens Way # 653, 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 |
|---|---|---|---|
| 1235454174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | E-10832 (Arkansas) | Primary |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Arkansas Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deidre Wyrick, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100 | Dr Deidre Wyrick, MD 1 Childrens Way # 653, 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. 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 | |
Dr. Jordan W Greer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4110 Outpatient Circle, Outpatient Center, Third Floor, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5855 |