| Arkansas Heart Hospital Rural Health Services, Llc | |
|
7 Shackleford West Blvd Little Rock AR 72211-3714 | |
| (501) 664-5860 | |
| (501) 664-0889 |
| Full Name | Arkansas Heart Hospital Rural Health Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7 Shackleford West Blvd, Little Rock, Arkansas |
| Authorized Official Name and Position | Tyler Blair (CFO) |
| Authorized Official Contact | 5012197000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Heart Hospital Rural Health Services, Llc 7 Shackleford West Blvd Little Rock AR 72211-3714 Ph: (501) 664-5860 | Arkansas Heart Hospital Rural Health Services, Llc 7 Shackleford West Blvd Little Rock AR 72211-3714 Ph: (501) 664-5860 |
| NPI Number | 1548553811 |
|---|---|
| Provider Enumeration Date | 05/19/2011 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 6204004815 |
|---|---|
| Medicare Enrollment ID | O20110727000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548553811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | John C Menard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346276441 PECOS PAC ID: 1456348259 Enrollment ID: I20040426000896 |
| Provider Name | Patrick J Flaherty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740273184 PECOS PAC ID: 6305836982 Enrollment ID: I20040515000030 |
| Provider Name | Michael T Nolen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1164515318 PECOS PAC ID: 0840276192 Enrollment ID: I20040628000117 |
| Provider Name | Jimmie L Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326129958 PECOS PAC ID: 5698753861 Enrollment ID: I20040713000903 |
| Provider Name | Ian Cawich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427273432 PECOS PAC ID: 2567441710 Enrollment ID: I20040720000483 |
| Provider Name | Gregory M Loyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932170404 PECOS PAC ID: 0547225997 Enrollment ID: I20041124000378 |
| Provider Name | Seth A Easley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154362267 PECOS PAC ID: 5991760928 Enrollment ID: I20041201000355 |
| Provider Name | Lisa Ivy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033103296 PECOS PAC ID: 4880645878 Enrollment ID: I20050318000893 |
| Provider Name | Dedrea A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639163736 PECOS PAC ID: 8729015094 Enrollment ID: I20050719000961 |
| Provider Name | Mehmet Cilingiroglu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710922125 PECOS PAC ID: 8022036110 Enrollment ID: I20051107001145 |
| Provider Name | Jon David Fuller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225080765 PECOS PAC ID: 6608837109 Enrollment ID: I20051115001005 |
| Provider Name | Rebecca L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801826375 PECOS PAC ID: 2264437391 Enrollment ID: I20060925000351 |
| Provider Name | Raquel D Danko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821196445 PECOS PAC ID: 8426059536 Enrollment ID: I20070116000267 |
| Provider Name | Todd D Gammill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235122615 PECOS PAC ID: 6709986722 Enrollment ID: I20070705000208 |
| Provider Name | William A Rollefson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366436750 PECOS PAC ID: 6800790502 Enrollment ID: I20070709000114 |
| Provider Name | Scott L Beau |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861485302 PECOS PAC ID: 1658275540 Enrollment ID: I20070713000503 |
| Provider Name | Wilson Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588658983 PECOS PAC ID: 4789784968 Enrollment ID: I20070717000688 |
| Provider Name | Carl Leding |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912991381 PECOS PAC ID: 2163523358 Enrollment ID: I20070718000090 |
| Provider Name | Sangeeth J Samuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134235146 PECOS PAC ID: 9830286616 Enrollment ID: I20071025000351 |
| Provider Name | Angela Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760603575 PECOS PAC ID: 5698854388 Enrollment ID: I20080506000845 |
| Provider Name | Nicholas J Fazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609050087 PECOS PAC ID: 2567531759 Enrollment ID: I20080514000144 |
| Provider Name | Michael Huber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619948700 PECOS PAC ID: 7618040254 Enrollment ID: I20080715000927 |
| Provider Name | Dylan Thaxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609040849 PECOS PAC ID: 6406921667 Enrollment ID: I20080822000210 |
| Provider Name | Susan L Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730338187 PECOS PAC ID: 5597829788 Enrollment ID: I20090211000829 |
| Provider Name | Lindsay Chalmers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285873984 PECOS PAC ID: 9234286865 Enrollment ID: I20090416000295 |
| Provider Name | Athanasios Stoyioglou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427139476 PECOS PAC ID: 8426152281 Enrollment ID: I20091030000161 |
| Provider Name | James M Myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194788794 PECOS PAC ID: 6305988734 Enrollment ID: I20100125000032 |
| Provider Name | Bruce K Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952497240 PECOS PAC ID: 8123007192 Enrollment ID: I20100202000193 |
| Provider Name | James E Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174672356 PECOS PAC ID: 0749323509 Enrollment ID: I20100203000036 |
| Provider Name | James J Kane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720072176 PECOS PAC ID: 9234274861 Enrollment ID: I20100305000858 |
| Provider Name | Patrick K Stage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124012323 PECOS PAC ID: 1355486721 Enrollment ID: I20100310000277 |
| Provider Name | David Mego |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245224625 PECOS PAC ID: 1557265444 Enrollment ID: I20100311000620 |
| Provider Name | Paulo A Ribeiro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487648879 PECOS PAC ID: 9436234671 Enrollment ID: I20100325000844 |
| Provider Name | David Andrew Henry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487647806 PECOS PAC ID: 2860396751 Enrollment ID: I20100329001122 |
| Provider Name | Kelly Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861486920 PECOS PAC ID: 6608902135 Enrollment ID: I20100410000052 |
| Provider Name | Beth Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528052800 PECOS PAC ID: 6103953633 Enrollment ID: I20100414000898 |
| Provider Name | Vasili Lendel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720104516 PECOS PAC ID: 7416040381 Enrollment ID: I20110812000462 |
| Provider Name | Amanda E Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770876328 PECOS PAC ID: 8527230986 Enrollment ID: I20111006000256 |
| Provider Name | Irina Lendel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396854352 PECOS PAC ID: 4183621972 Enrollment ID: I20111128000506 |
| Provider Name | Joseph W Forney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003887589 PECOS PAC ID: 5294627469 Enrollment ID: I20130426000121 |
| Provider Name | Sara Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619216496 PECOS PAC ID: 2860639374 Enrollment ID: I20130430000449 |
| Provider Name | Jennifer K Brock |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1154664316 PECOS PAC ID: 8921247933 Enrollment ID: I20130625000111 |
| Provider Name | Monica Y Lo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578772604 PECOS PAC ID: 8628246170 Enrollment ID: I20130730000753 |
| Provider Name | Daniel P Sherbet |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558572552 PECOS PAC ID: 8921276486 Enrollment ID: I20140507000339 |
| Provider Name | Janine K Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831580018 PECOS PAC ID: 9234455965 Enrollment ID: I20150224000725 |
| Provider Name | James J Tucker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114186053 PECOS PAC ID: 9133348469 Enrollment ID: I20150513000363 |
| Provider Name | Patricia A Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629465919 PECOS PAC ID: 1658691720 Enrollment ID: I20150514000109 |
| Provider Name | Amy Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104213289 PECOS PAC ID: 2365763190 Enrollment ID: I20150605000600 |
| Provider Name | Andre R Paixao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801051909 PECOS PAC ID: 9133435001 Enrollment ID: I20150909000388 |
| Provider Name | Vijay N Raja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265691976 PECOS PAC ID: 3971810474 Enrollment ID: I20150916001083 |
| Provider Name | Susan K Griffeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366508780 PECOS PAC ID: 7618871013 Enrollment ID: I20150922002257 |
| Provider Name | Michelle L Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062857 PECOS PAC ID: 2961709621 Enrollment ID: I20160323000839 |
| Provider Name | Callie R Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093174716 PECOS PAC ID: 3577860196 Enrollment ID: I20160328000454 |
| Provider Name | Robin L Nuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235394446 PECOS PAC ID: 6002113404 Enrollment ID: I20160330001721 |
| Provider Name | Katelin D Whiddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326344045 PECOS PAC ID: 1254639073 Enrollment ID: I20160412001460 |
| Provider Name | Shea Don Oxford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205293750 PECOS PAC ID: 6204134059 Enrollment ID: I20160412002381 |
| Provider Name | Hetal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780038604 PECOS PAC ID: 1658670427 Enrollment ID: I20160428001665 |
| Provider Name | Sudarone Thihalolipavan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528220050 PECOS PAC ID: 6406020940 Enrollment ID: I20160725002767 |
| Provider Name | Kristofer T Freeland |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1568605905 PECOS PAC ID: 6204121122 Enrollment ID: I20160817000526 |
| Provider Name | Gary M Nash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326274952 PECOS PAC ID: 7618198243 Enrollment ID: I20160824000789 |
| Provider Name | Courtney N Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114470549 PECOS PAC ID: 2163717307 Enrollment ID: I20160826000400 |
| Provider Name | Mahesh Bavineni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013353150 PECOS PAC ID: 6800184615 Enrollment ID: I20161011002413 |
| Provider Name | Lauren E Searcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003268103 PECOS PAC ID: 1658669247 Enrollment ID: I20161014000387 |
| Provider Name | Rebecca J Mcanulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306394465 PECOS PAC ID: 8224319769 Enrollment ID: I20161221001456 |
| Provider Name | Kimberly Lane Atwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330065 PECOS PAC ID: 8022399138 Enrollment ID: I20170104001094 |
| Provider Name | Samuel E Bledsoe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033367446 PECOS PAC ID: 7911052758 Enrollment ID: I20170216001804 |
| Provider Name | Urmi B Jani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184034126 PECOS PAC ID: 6507140704 Enrollment ID: I20170308000379 |
| Provider Name | Donna L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537168 PECOS PAC ID: 8325323967 Enrollment ID: I20170323000239 |
| Provider Name | Krysten M Pilkington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004685 PECOS PAC ID: 0547546269 Enrollment ID: I20170412001938 |
| Provider Name | Hannah E Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851832653 PECOS PAC ID: 2163708793 Enrollment ID: I20170417000367 |
| Provider Name | Sarah J Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083154512 PECOS PAC ID: 5092091504 Enrollment ID: I20170418002115 |
| Provider Name | Annabeth Hazlewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477913861 PECOS PAC ID: 4981981040 Enrollment ID: I20170428000112 |
| Provider Name | Julia L Ponder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740796 PECOS PAC ID: 0749554822 Enrollment ID: I20170928001646 |
| Provider Name | Kayla Manatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235648874 PECOS PAC ID: 6901172618 Enrollment ID: I20171025001252 |
| Provider Name | Brian Christopher Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134468895 PECOS PAC ID: 0547542599 Enrollment ID: I20180112000030 |
| Provider Name | William E Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891201588 PECOS PAC ID: 8729347497 Enrollment ID: I20180126000040 |
| Provider Name | Shelbi L Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811404551 PECOS PAC ID: 0648530998 Enrollment ID: I20180205002254 |
| Provider Name | Sydnie L Thessing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780191015 PECOS PAC ID: 5193085413 Enrollment ID: I20180207000317 |
| Provider Name | Rose L Alfano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942718093 PECOS PAC ID: 9739440090 Enrollment ID: I20180228002787 |
| Provider Name | Meeta Sheth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154359131 PECOS PAC ID: 5698737914 Enrollment ID: I20180321000076 |
| Provider Name | Virginia A Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023510203 PECOS PAC ID: 4284998592 Enrollment ID: I20180514000102 |
| Provider Name | Antisia Thompson-pearsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457840340 PECOS PAC ID: 8224383138 Enrollment ID: I20180618002211 |
| Provider Name | Peyton D Card |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851787659 PECOS PAC ID: 5395051767 Enrollment ID: I20180803002334 |
| Provider Name | Alexander L Hargis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407380082 PECOS PAC ID: 2062764673 Enrollment ID: I20181010000442 |
| Provider Name | Marissa Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457832842 PECOS PAC ID: 6103178736 Enrollment ID: I20181010001170 |
| Provider Name | Mary E Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104301514 PECOS PAC ID: 5193078640 Enrollment ID: I20181030001910 |
| Provider Name | Sarah E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619452448 PECOS PAC ID: 9032463534 Enrollment ID: I20181120001743 |
| Provider Name | Angela D Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316424047 PECOS PAC ID: 7719222058 Enrollment ID: I20181214001618 |
| Provider Name | Lauren E Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588132948 PECOS PAC ID: 4082950118 Enrollment ID: I20190110003211 |
| Provider Name | Melissa E Krisht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316467616 PECOS PAC ID: 5799042776 Enrollment ID: I20190228000335 |
| Provider Name | Wesley G Lane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013276187 PECOS PAC ID: 1153600671 Enrollment ID: I20190322000173 |
| Provider Name | Crystal E Meziere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922565233 PECOS PAC ID: 9638419724 Enrollment ID: I20190328000443 |
| Provider Name | Courtney E Sutterfield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053868240 PECOS PAC ID: 4385985365 Enrollment ID: I20190402000730 |
| Provider Name | Brandi L Madaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548733603 PECOS PAC ID: 6608119367 Enrollment ID: I20190521000130 |
| Provider Name | Abigail G Connerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476720 PECOS PAC ID: 3375874597 Enrollment ID: I20191018001118 |
| Provider Name | Melanie L Amick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942769427 PECOS PAC ID: 9032441886 Enrollment ID: I20191028001104 |
| Provider Name | Amber J Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184284804 PECOS PAC ID: 8224460266 Enrollment ID: I20191113002586 |
| Provider Name | Crystal Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811527492 PECOS PAC ID: 3870929045 Enrollment ID: I20200206001321 |
| Provider Name | Laura Nicole Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174157424 PECOS PAC ID: 7416386156 Enrollment ID: I20200401001971 |
| Provider Name | Scott James Ryan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013259100 PECOS PAC ID: 6204060940 Enrollment ID: I20200501002880 |
| Provider Name | Allyson C Worden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801411285 PECOS PAC ID: 7214359942 Enrollment ID: I20200625000265 |
| Provider Name | Shanna A Bennett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255931093 PECOS PAC ID: 6406266865 Enrollment ID: I20201113001513 |
| Provider Name | Jordan E Mchenry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003417437 PECOS PAC ID: 0749691095 Enrollment ID: I20201118001064 |
| Provider Name | Quynh C Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205451853 PECOS PAC ID: 3476964388 Enrollment ID: I20201125001921 |
| Provider Name | Anton Lishmanov |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275763757 PECOS PAC ID: 4688825532 Enrollment ID: I20201130002004 |
| Provider Name | Vincent Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235770942 PECOS PAC ID: 1658786751 Enrollment ID: I20210224000012 |
| Provider Name | Kadi Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185546 PECOS PAC ID: 8820404338 Enrollment ID: I20210309000191 |
| Provider Name | Brittney Nicole Pearcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124617105 PECOS PAC ID: 7214344886 Enrollment ID: I20210326000399 |
| Provider Name | Oscar G Talledo Zevallos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265850671 PECOS PAC ID: 9234432592 Enrollment ID: I20210603003192 |
| Provider Name | Michael J Loguidice |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134564891 PECOS PAC ID: 9931337474 Enrollment ID: I20210625000852 |
| Provider Name | Nureddin K Almaddah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467891705 PECOS PAC ID: 3173753167 Enrollment ID: I20210715001280 |
| Provider Name | Mark O Hardin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861697815 PECOS PAC ID: 1658699699 Enrollment ID: I20210729001470 |
| Provider Name | Cynthia D Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902475635 PECOS PAC ID: 2668875550 Enrollment ID: I20210729003181 |
| Provider Name | Armaghan Soomro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003256157 PECOS PAC ID: 3375821473 Enrollment ID: I20210913000768 |
| Provider Name | Abby R Nolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295310985 PECOS PAC ID: 4688071970 Enrollment ID: I20210929002609 |
| Provider Name | Kayla E Harrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689336109 PECOS PAC ID: 2264821339 Enrollment ID: I20211110002206 |
| Provider Name | Kayla B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487223632 PECOS PAC ID: 1759772601 Enrollment ID: I20220103001677 |
| Provider Name | Amanda E Bull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396490058 PECOS PAC ID: 2062807795 Enrollment ID: I20220316002669 |
| Provider Name | Allison Hurt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477289726 PECOS PAC ID: 8628451986 Enrollment ID: I20220818002569 |
| Provider Name | Albert Craig Pearce |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598737835 PECOS PAC ID: 4880782531 Enrollment ID: I20220908000674 |
| Provider Name | Natalie R Gossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790404499 PECOS PAC ID: 1052797362 Enrollment ID: I20221010001616 |
| Provider Name | Allison G Bailey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114640752 PECOS PAC ID: 8628444874 Enrollment ID: I20221013001500 |
| Provider Name | Tiara N Pafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720790371 PECOS PAC ID: 2567832595 Enrollment ID: I20230106002721 |
| Provider Name | Jamie Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710576590 PECOS PAC ID: 6406260660 Enrollment ID: I20230107000000 |
| Provider Name | Eric J Siebenmorgen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023789013 PECOS PAC ID: 4880065085 Enrollment ID: I20230126001891 |
| Provider Name | Hamza Abdulnabi Ahmed Rayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356750624 PECOS PAC ID: 9638467533 Enrollment ID: I20230328000441 |
| Provider Name | Lauren M Westwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770278640 PECOS PAC ID: 4082070099 Enrollment ID: I20230517002695 |
| Provider Name | Lisa M Kottler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164186219 PECOS PAC ID: 4486009305 Enrollment ID: I20231012003647 |
| Provider Name | Andrew M Hinson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417418468 PECOS PAC ID: 5092043547 Enrollment ID: I20240913003552 |
| Provider Name | Shari A Ronell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306686795 PECOS PAC ID: 1153852686 Enrollment ID: I20241008001267 |
| Provider Name | Molly K Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528780285 PECOS PAC ID: 7315470788 Enrollment ID: I20241024001830 |
| Provider Name | Sarah D Alshami |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346703279 PECOS PAC ID: 3870828544 Enrollment ID: I20241115002055 |
| Provider Name | Nash M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265255202 PECOS PAC ID: 8527595669 Enrollment ID: I20241231001498 |
| Provider Name | Elizabeth Abler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407668619 PECOS PAC ID: 5890225122 Enrollment ID: I20250214003251 |
| Provider Name | Michaela V Caldarera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871306787 PECOS PAC ID: 0749700318 Enrollment ID: I20250226001217 |
Lane Eye Care Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Rd, Little Rock, AR 72212 Phone: 501-225-4648 Fax: 501-225-8628 | |
Primary Care Of Arkansas Chrystal Johnson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S University Ave, Suite 515, Little Rock, AR 72205 Phone: 501-666-6100 Fax: 501-666-6107 | |
On The Go Med Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11321 I-30 Ste 304, Little Rock, AR 72209 Phone: 501-455-9500 Fax: 501-455-9505 | |
Servant Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Road, Ste C-10a, Little Rock, AR 72212 Phone: 501-246-7274 Fax: 501-421-4161 | |
Evgueni Roudachevski, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11912 Kanis Rd, Suite F2, Little Rock, AR 72211 Phone: 501-227-8020 Fax: 501-227-8826 | |
Senior Care Solutions Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-4300 Fax: 501-821-4300 | |
Benny J Green Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14309 Cantrell Rd, Ste 7, Little Rock, AR 72223 Phone: 501-224-6727 Fax: 501-224-0674 |