| Central Arkansas Gastroenterology Clinic, Pa | |
|
212 Natural Resources Dr Little Rock AR 72205-1573 | |
| (501) 664-7200 | |
| (501) 664-7205 |
| Full Name | Central Arkansas Gastroenterology Clinic, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 212 Natural Resources Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | Keith Edward Morris (PRESIDENT) |
| Authorized Official Contact | 5016647200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Arkansas Gastroenterology Clinic, Pa Po Box 55073 Little Rock AR 72215-5073 Ph: (501) 664-7200 | Central Arkansas Gastroenterology Clinic, Pa 212 Natural Resources Dr Little Rock AR 72205-1573 Ph: (501) 664-7200 |
| NPI Number | 1073521175 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/14/2012 |
| Medicare PECOS PAC ID | 3375670391 |
|---|---|
| Medicare Enrollment ID | O20100423000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073521175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | E3487 (Arkansas) | Primary |
| Provider Name | Keith E Morris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841281334 PECOS PAC ID: 4688644099 Enrollment ID: I20040730000946 |
| Provider Name | Thusha N Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295718211 PECOS PAC ID: 0547221939 Enrollment ID: I20120515000159 |
| Provider Name | Kimberly Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952901340 PECOS PAC ID: 0345642633 Enrollment ID: I20210708002920 |
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