| Robert Haley Shaw, MD | |
|
3401 Springhill Dr, Ste 400, North Little Rock, AR 72117 | |
| (501) 945-4422 | |
| (501) 955-6046 |
| Full Name | Robert Haley Shaw |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 31 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 |
|---|---|---|---|
| 1902877533 | NPI | - | NPPES |
| 138387001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E2218 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pulaski Surgery Clinic Pa | 1951206093 | 6 |
| Entity Name | Pulaski Surgery Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790756328 PECOS PAC ID: 1951206093 Enrollment ID: O20031203000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Haley Shaw, MD 3401 Springhill Dr, Ste 400, North Little Rock, AR 72117 Ph: (501) 945-4422 | Robert Haley Shaw, MD 3401 Springhill Dr, Ste 400, North Little Rock, AR 72117 Ph: (501) 945-4422 |
John Michael Stair, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 Springhill Dr, Ste 400, North Little Rock, AR 72117 Phone: 501-945-4422 Fax: 501-955-6046 | |
David Wilson Bevans Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 Springhill Dr, Ste 400, North Little Rock, AR 72117 Phone: 501-945-4422 Fax: 501-955-6046 | |
Dr. Jerri S Fant, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Springhill Drive, North Little Rock, AR 72117 Phone: 501-906-3000 | |
Laura Ann Bradney, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 Springhill Dr Ste 245, North Little Rock, AR 72117 Phone: 501-945-4422 Fax: 501-945-4424 | |
Abigail Leigh Deloach, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 3401 Springhill Dr Ste 245, North Little Rock, AR 72117 Phone: 501-945-4422 Fax: 501-955-6052 | |
John Max Deloach Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 Springhill Dr, Ste 400, North Little Rock, AR 72117 Phone: 501-945-4422 Fax: 501-955-6046 | |
John Michael Hayes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 Springhill Dr, Ste 400, North Little Rock, AR 72117 Phone: 501-945-4422 Fax: 501-955-6046 |