| Dr W Dale Perrymore, MD | |
| 9601 Lile Dr, Suite 1100, Little Rock, AR 72205-6333 | |
| (501) 227-5256 | |
| (501) 227-9151 | 
| Full Name | Dr W Dale Perrymore | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 9601 Lile Dr, 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 | 
|---|---|---|---|
| 1053366559 | NPI | - | NPPES | 
| 139953001 | Medicaid | AR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | C-5498 (Arkansas) | Primary | 
| Entity Name | Radiology Consultants Of Little Rock, Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639124118 PECOS PAC ID: 6103716303 Enrollment ID: O20040319000789 | 
| Entity Name | Arkansas Health Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861216327 PECOS PAC ID: 7911802079 Enrollment ID: O20241217002197 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr W Dale Perrymore, MD 9601 Lile Dr, Suite 1100, Little Rock, AR 72205-6333 Ph: (501) 227-5256 | Dr W Dale Perrymore, MD 9601 Lile Dr, Suite 1100, Little Rock, AR 72205-6333 Ph: (501) 227-5256 | 
| Jeremiah James Sabado,  Radiology Medicare: Accepting Medicare Assignments 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: Medicare Enrolled 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 |