| Baptist Health Neurology Outpatient Clinic | |
|
9600 Baptist Health Dr Ste 320 Little Rock AR 72205-6322 | |
| (501) 227-0421 | |
| (501) 227-0105 |
| Full Name | Baptist Health Neurology Outpatient Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9600 Baptist Health Dr Ste 320, Little Rock, Arkansas |
| Authorized Official Name and Position | Will L Rusher (CEO) |
| Authorized Official Contact | 5018127587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Neurology Outpatient Clinic 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Baptist Health Neurology Outpatient Clinic 9600 Baptist Health Dr Ste 320 Little Rock AR 72205-6322 Ph: (501) 227-0421 |
| NPI Number | 1033471453 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20120806000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033471453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | N-7649 (Arkansas) | Primary |
| Provider Name | Michael Z Chesser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942289293 PECOS PAC ID: 8224025549 Enrollment ID: I20040428001278 |
| Provider Name | Robert F Silzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881626257 PECOS PAC ID: 7618964859 Enrollment ID: I20040428001461 |
| Provider Name | Mohammad Daaif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720271331 PECOS PAC ID: 1850565714 Enrollment ID: I20111111000113 |
| Provider Name | Vasuki H Dandu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457517864 PECOS PAC ID: 3971769795 Enrollment ID: I20120724000294 |
| Provider Name | Krishna C Mylavarapu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275889198 PECOS PAC ID: 9436377801 Enrollment ID: I20140826002348 |
| Provider Name | Olivia K Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477063873 PECOS PAC ID: 6507123866 Enrollment ID: I20171122001102 |
| Provider Name | Srilatha Thadur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568626976 PECOS PAC ID: 6406146430 Enrollment ID: I20180809000379 |
| Provider Name | Lindsey K Bourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144788068 PECOS PAC ID: 9335574912 Enrollment ID: I20200109001194 |
| Provider Name | Jean Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265759716 PECOS PAC ID: 3577879535 Enrollment ID: I20200318000456 |
| Provider Name | Mushtaq Hussain Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811352396 PECOS PAC ID: 2365871910 Enrollment ID: I20200401003297 |
| Provider Name | John R Belden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194725754 PECOS PAC ID: 9537195300 Enrollment ID: I20200514001754 |
| Provider Name | William Haywood Mays |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265690580 PECOS PAC ID: 1759626799 Enrollment ID: I20200624000265 |
| Provider Name | Edward M Mendoza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699813741 PECOS PAC ID: 8224325683 Enrollment ID: I20200729001780 |
| Provider Name | Ashby C Turner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114314127 PECOS PAC ID: 4486966512 Enrollment ID: I20200806002731 |
| Provider Name | Candice J Perkins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891735197 PECOS PAC ID: 3678766128 Enrollment ID: I20200814001025 |
| Provider Name | Shana Nichole Kloske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629678768 PECOS PAC ID: 1951713494 Enrollment ID: I20201208000033 |
| Provider Name | Ayaz Khawaja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881943256 PECOS PAC ID: 4082850888 Enrollment ID: I20210722002175 |
| Provider Name | Junaid Kalia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790096998 PECOS PAC ID: 9830485614 Enrollment ID: I20210831002416 |
| Provider Name | Thomas Mark Banas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508863051 PECOS PAC ID: 9537069299 Enrollment ID: I20210903002147 |
| Provider Name | Kalyani Korabathina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518165539 PECOS PAC ID: 3577625227 Enrollment ID: I20211011000450 |
| Provider Name | Christina Lenk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225197957 PECOS PAC ID: 2163587817 Enrollment ID: I20211026003513 |
| Provider Name | Anil Venkata Seshu Yallapragada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639338585 PECOS PAC ID: 9739343740 Enrollment ID: I20211104000011 |
| Provider Name | Nicole Wysocki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912342734 PECOS PAC ID: 2668740036 Enrollment ID: I20211201002142 |
| Provider Name | Jose Mari-acevedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952745440 PECOS PAC ID: 1850521543 Enrollment ID: I20220203002722 |
| Provider Name | Poornachand Veerapaneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619408259 PECOS PAC ID: 4587931001 Enrollment ID: I20220726003651 |
| Provider Name | Krishna Chaitanya Kandregula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083142855 PECOS PAC ID: 1759764467 Enrollment ID: I20220812001934 |
| Provider Name | Curtis Keller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295963791 PECOS PAC ID: 4880834399 Enrollment ID: I20230901003231 |
| Provider Name | Jose Carrau Lebron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023229317 PECOS PAC ID: 8325107394 Enrollment ID: I20240201001639 |
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