| Dr Stephen Allen Whaley, MD | |
|
701 S Pulaski St, Little Rock, AR 72201-3926 | |
| (501) 682-6223 | |
| Not Available |
| Full Name | Dr Stephen Allen Whaley |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 701 S Pulaski St, 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 |
|---|---|---|---|
| 1992716948 | NPI | - | NPPES |
| 105168001 | Medicaid | AR | |
| 55609 | Other | AR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C-5107 (Arkansas) | Primary |
| Entity Name | Baptist Medcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699868323 PECOS PAC ID: 5698667624 Enrollment ID: O20040325001348 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Allen Whaley, MD 701 S Pulaski St, Little Rock, AR 72201-3926 Ph: (501) 682-6223 | Dr Stephen Allen Whaley, MD 701 S Pulaski St, Little Rock, AR 72201-3926 Ph: (501) 682-6223 |
Dr. Michael William Bishop, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way Fl Wing1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Amber Michele Morse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-16, Little Rock, AR 72202 Phone: 501-364-1050 Fax: 501-364-6931 | |
Dustin Edward Williford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-8, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-2963 | |
Kristyn N Jeffries, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418 | |
Thanh Thanh Dai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-24a, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Indirapriya Darshini Avulakunta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418 | |
Abdelrahman Masri, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 |