| Peter Joo Kim, MD | |
|
9500 Kanis Rd, Suite 501, Little Rock, AR 72205-6324 | |
| (501) 227-9080 | |
| (501) 227-0410 |
| Full Name | Peter Joo Kim |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 23 Years |
| Location | 9500 Kanis Rd, Little Rock, Arkansas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619186053 | NPI | - | NPPES |
| 164967001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E5116 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Baptist Health Medical Center- Conway | Conway, AR | Hospital |
| Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760024459 PECOS PAC ID: 7911802079 Enrollment ID: O20200122000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Joo Kim, MD 9500 Kanis Rd, Suite 501, Little Rock, AR 72205-6324 Ph: (501) 227-9080 | Peter Joo Kim, MD 9500 Kanis Rd, Suite 501, Little Rock, AR 72205-6324 Ph: (501) 227-9080 |
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. 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 | |
Dr. Jordan W Greer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4110 Outpatient Circle, Outpatient Center, Third Floor, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5855 |