| Arkansas Health Group | |
|
9601 Baptist Health Dr Ste 750 Little Rock AR 72205-6370 | |
| (501) 224-0200 | |
| (501) 224-2292 |
| Full Name | Arkansas Health Group |
|---|---|
| Speciality | Neurological Surgery |
| Location | 9601 Baptist Health Dr Ste 750, Little Rock, Arkansas |
| Authorized Official Name and Position | Will Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Health Group 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Arkansas Health Group 9601 Baptist Health Dr Ste 750 Little Rock AR 72205-6370 Ph: (501) 224-0200 |
| NPI Number | 1346610946 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20151215000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346610946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
| Provider Name | George T Burson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194761791 PECOS PAC ID: 2365407418 Enrollment ID: I20041201000224 |
| Provider Name | Pervie B Simpson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215917075 PECOS PAC ID: 9638234552 Enrollment ID: I20090210000205 |
| Provider Name | Adewumi Amole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558565143 PECOS PAC ID: 9335293463 Enrollment ID: I20090824000572 |
| Provider Name | Rhonda K Finnie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790897395 PECOS PAC ID: 9032347422 Enrollment ID: I20140109001671 |
| Provider Name | David E Connor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508077884 PECOS PAC ID: 8224255187 Enrollment ID: I20140818000206 |
| Provider Name | Blake C Phillips |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730347899 PECOS PAC ID: 4880906296 Enrollment ID: I20150626001262 |
| Provider Name | Hannah M Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275920654 PECOS PAC ID: 7618289927 Enrollment ID: I20150629002798 |
| Provider Name | Jonathan R Reding |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477780906 PECOS PAC ID: 9537307632 Enrollment ID: I20150810000999 |
| Provider Name | Gautam Kanu Gandhi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558505172 PECOS PAC ID: 0840516647 Enrollment ID: I20160706002638 |
| Provider Name | Diaa Ahmed Nabil Bahgat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164693347 PECOS PAC ID: 9638240021 Enrollment ID: I20161004001773 |
| Provider Name | Sushrut Dharmadhikari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831496942 PECOS PAC ID: 2264700236 Enrollment ID: I20170615000570 |
| Provider Name | Elizabeth A Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821504226 PECOS PAC ID: 1052676947 Enrollment ID: I20180524000082 |
| Provider Name | Mudassar Kamran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487942413 PECOS PAC ID: 7012146590 Enrollment ID: I20180611000728 |
| Provider Name | Janhavi M Modak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245585678 PECOS PAC ID: 2961705231 Enrollment ID: I20190919003114 |
| Provider Name | Brandii Borders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154000917 PECOS PAC ID: 6608319215 Enrollment ID: I20240624000687 |
| Provider Name | Osama Intikhab |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720432941 PECOS PAC ID: 7012208838 Enrollment ID: I20240828001053 |
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