| Edwin A Diaz, MD | |
|
3401 Springhill Dr, Suite345, North Little Rock, AR 72117-2924 | |
| (501) 945-2121 | |
| (501) 537-1875 |
| Full Name | Edwin A Diaz |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 3401 Springhill Dr, North 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 |
|---|---|---|---|
| 1275508939 | NPI | - | NPPES |
| 154196001 | Medicaid | AR | |
| P00137126 | Other | AR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | E4076 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| St Vincent Medical Center/north | Sherwood, AR | Hospital |
| Chi-st Vincent Infirmary | Little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 272 |
| Arkansas Urology, P.a. | 4082502547 | 32 |
| Entity Name | Arkansas Urology, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093720443 PECOS PAC ID: 4082502547 Enrollment ID: O20040306000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin A Diaz, MD 3401 Springhill Dr, Suite345, North Little Rock, AR 72117-2924 Ph: (501) 945-2121 | Edwin A Diaz, MD 3401 Springhill Dr, Suite345, North Little Rock, AR 72117-2924 Ph: (501) 945-2121 |
Dr. Gerald Mark Heulitt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4200 Stockton Dr, North Little Rock, AR 72117 Phone: 501-219-8900 | |
Dr. Peyton E Rice Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3401 Springhill Dr, Suite 240, North Little Rock, AR 72117 Phone: 501-753-4593 Fax: 501-753-6713 | |
Ronald Griffin Kuhn, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3320 Springhill Dr, North Little Rock, AR 72117 Phone: 501-906-3000 Fax: 501-907-8367 |