| Dr Shane J Tharp, MD | |
|
500 South University Ave, Suite 101, Little Rock, AR 72205-5314 | |
| (501) 664-3914 | |
| (501) 664-5246 |
| Full Name | Dr Shane J Tharp |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 500 South University Ave, Little Rock, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104878420 | NPI | - | NPPES |
| 161721001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | E3435 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White County Medical Center | Searcy, AR | Hospital |
| St Vincent Hot Springs | Hot springs, AR | Hospital |
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| Medical Center Of South Arkansas | El dorado, AR | Hospital |
| Chi-st Vincent Infirmary | Little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chi St Vincent Medical Group Hot Springs | 3971673716 | 174 |
| Radiology Associates Pa | 7517953912 | 99 |
| Entity Name | Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366438186 PECOS PAC ID: 7517953912 Enrollment ID: O20040421001682 |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831387117 PECOS PAC ID: 3971673716 Enrollment ID: O20080604000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane J Tharp, MD 500 South University Ave, Suite 101, Little Rock, AR 72205-5314 Ph: (501) 664-3914 | Dr Shane J Tharp, MD 500 South University Ave, Suite 101, Little Rock, AR 72205-5314 Ph: (501) 664-3914 |
Jeremiah James Sabado, Radiology Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 104, Little Rock, AR 72202 Phone: 501-364-1175 Fax: 501-364-1513 | |
Dr. Jamie D Ireland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 West 7th Street, John L. Mcclellan Memorial Veterans Hospital, Little Rock, AR 72205 Phone: 501-257-6615 | |
Dr. Aaron L. Janos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 South University Avenue, Suite 101, Little Rock, AR 72205 Phone: 501-664-3914 Fax: 501-664-5246 | |
Whitney Goodwin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205 Phone: 501-748-3214 Fax: 501-227-9151 | |
Dr. Uma Mahesh Matapathi, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way # 104, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Dr. Robert L Stuckey Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205 Phone: 501-748-3214 Fax: 501-227-9151 | |
Jodi M Barboza, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 S University Ave, Suite 101, Little Rock, AR 72205 Phone: 501-664-3914 Fax: 501-664-5246 |