| Homayoun Pournik, | |
|
12600 Cantrell Rd Ste 100, Little Rock, AR 72223-1604 | |
| (501) 224-1044 | |
| Not Available |
| Full Name | Homayoun Pournik |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 12600 Cantrell Rd Ste 100, 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 |
|---|---|---|---|
| 1609172097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2018-01729 (North Carolina) | Secondary |
| 208600000X | Surgery | T2026-068 (Arkansas) | Primary |
| 204F00000X | Transplant Surgery | A146226 (California) | Secondary |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Homayoun Pournik, 12600 Cantrell Rd Ste 100, Little Rock, AR 72223-1604 Ph: (501) 224-1044 | Homayoun Pournik, 12600 Cantrell Rd Ste 100, Little Rock, AR 72223-1604 Ph: (501) 224-1044 |
Charles Wesley Wagner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12609 Saint Charles Blvd, Little Rock, AR 72211 Phone: 501-680-0738 | |
Sandra Minerva Garcia Osogobio, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 520, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Mrs. Elaine Marie Thrash, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 | |
Oleksiy Gudz, M.D.,PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 520-2, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5328 | |
Mrs. Chelsea Nicole Scherz, APRN Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Jared Tucker Gowen, MD Surgery Medicare: Medicare Enrolled Practice Location: University Of Arkansas For Medical Sciences, 4301 West Markham, Slot 520-2, Little Rock, AR 72205 Phone: 501-686-6627 | |
Dr. Jonathan Amarkwei Laryea, MB CHB Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Slot 520, Little Rock, AR 72205 Phone: 501-686-6648 Fax: 501-686-7280 |