| Dr J Timothy Hodges, MD | |
|
11415 Executive Center Drive, Little Rock, AR 72211-4489 | |
| (501) 224-5220 | |
| (501) 228-9828 |
| Full Name | Dr J Timothy Hodges |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 11415 Executive Center Drive, 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 |
|---|---|---|---|
| 1902802465 | NPI | - | NPPES |
| 080008954 | Other | RAILROAD MEDICARE | |
| 11164000000 | Other | AR | QUALCHOICE |
| 01-20103 | Other | AR | UNITED HEALTHCARE |
| 105361001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C-5203 (Arkansas) | Primary |
| Entity Name | Arkansas Family Care Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497718134 PECOS PAC ID: 0648256800 Enrollment ID: O20040628000962 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J Timothy Hodges, MD 11415 Executive Center Drive, Little Rock, AR 72211-4489 Ph: (501) 224-5220 | Dr J Timothy Hodges, MD 11415 Executive Center Drive, Little Rock, AR 72211-4489 Ph: (501) 224-5220 |
Dr. William Lyman Rutledge, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9712 W Markham St, Little Rock, AR 72205 Phone: 501-954-8800 Fax: 501-954-8803 | |
Allan Dee Mckenzie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4523 Woodlawn Dr, Little Rock, AR 72205 Phone: 501-663-2363 Fax: 501-663-2362 | |
Dr. Steven Kyser, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-5050 | |
Dr. William Wells Burnham, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000 Fax: 501-257-5071 | |
Dr. Pham Hieu Liem, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, 748, Little Rock, AR 72205 Phone: 501-686-5944 Fax: 501-686-5884 | |
Susanna E Shermer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 N University Ave, Suite 1, Little Rock, AR 72207 Phone: 501-552-7900 Fax: 501-552-5321 | |
Richard Allen Calhoun, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 904 Autumn Rd, Suite 200, Little Rock, AR 72211 Phone: 501-227-6363 Fax: 501-227-8629 |