| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 12/14/2017 |
| Medicare PECOS PAC ID | 1557672409 |
|---|---|
| Medicare Enrollment ID | O20150618000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932586260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E-7210 (Arkansas) | Primary |
| Provider Name | Christopher A Henthorne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669562658 PECOS PAC ID: 5395712673 Enrollment ID: I20040915000827 |
| Provider Name | George Dunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932375482 PECOS PAC ID: 2163597303 Enrollment ID: I20080822000244 |
| Provider Name | Ahmad Kaako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679798995 PECOS PAC ID: 7416142302 Enrollment ID: I20101117001185 |
| Provider Name | Daniel Padgett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023283223 PECOS PAC ID: 5193896272 Enrollment ID: I20110112000385 |
| Provider Name | Robert J Delaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295869774 PECOS PAC ID: 5496854911 Enrollment ID: I20120313000415 |
| Provider Name | Thusha N Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295718211 PECOS PAC ID: 0547221939 Enrollment ID: I20120515000159 |
| Provider Name | Ihab Herraka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174610018 PECOS PAC ID: 6103081666 Enrollment ID: I20120706000471 |
| Provider Name | Joann Mahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104225317 PECOS PAC ID: 2062725534 Enrollment ID: I20150714000348 |
| Provider Name | Amanda B Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790220143 PECOS PAC ID: 6002199882 Enrollment ID: I20180530001861 |
| Provider Name | Bryant Monteith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871934521 PECOS PAC ID: 1951544790 Enrollment ID: I20200122003031 |
| Provider Name | Regenia Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912514936 PECOS PAC ID: 7012327232 Enrollment ID: I20201029000649 |
| Provider Name | Mohamad Imam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447696406 PECOS PAC ID: 5395025761 Enrollment ID: I20220322003359 |
| Provider Name | Dana Michelle Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588391858 PECOS PAC ID: 0042696361 Enrollment ID: I20221010002149 |
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 | |
Rvpcs Northside Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Fort Smith Eye Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903 Phone: 479-452-1580 Fax: 479-452-6910 | |
Premise Health - Rheem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Old Greenwood Rd, Fort Smith, AR 72908 Phone: 479-242-4290 Fax: 479-242-4640 | |
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 | |
Available Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903 Phone: 479-452-6362 Fax: 479-484-5652 |