Arkansas Liver And Gastroenterology Pa | |
3416 Old Greenwood Rd Fort Smith AR 72903-5462 | |
(479) 242-2888 | |
Not Available |
Full Name | Arkansas Liver And Gastroenterology Pa |
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Speciality | Clinic/Center |
Location | 3416 Old Greenwood Rd, Fort Smith, Arkansas |
Authorized Official Name and Position | Sarah Jessica-elise Coluccino (OFFICE MANAGER) |
Authorized Official Contact | 4792422888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arkansas Liver And Gastroenterology Pa 3416 Old Greenwood Rd Fort Smith AR 72903-5462 Ph: (352) 871-0992 | Arkansas Liver And Gastroenterology Pa 3416 Old Greenwood Rd Fort Smith AR 72903-5462 Ph: (479) 242-2888 |
NPI Number | 1932586260 |
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Provider Enumeration Date | 05/06/2015 |
Last Update Date | 12/14/2017 |
Medicare PECOS PAC ID | 1557672409 |
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Medicare Enrollment ID | O20150618000749 |
Identifier | Type | State | Issuer |
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1932586260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | E-7210 (Arkansas) | Primary |
Provider Name | George Dunn |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1932375482 PECOS PAC ID: 2163597303 Enrollment ID: I20080822000244 |
Provider Name | Daniel D Padgett |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023283223 PECOS PAC ID: 5193896272 Enrollment ID: I20110112000385 |
Provider Name | Ihab Herraka |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174610018 PECOS PAC ID: 6103081666 Enrollment ID: I20120706000471 |
Provider Name | Amanda B Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790220143 PECOS PAC ID: 6002199882 Enrollment ID: I20180530001861 |
Provider Name | Bryant N Monteith |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1871934521 PECOS PAC ID: 1951544790 Enrollment ID: I20200122003031 |
Provider Name | Mohamad Imam |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447696406 PECOS PAC ID: 5395025761 Enrollment ID: I20220322003359 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |