| Orthosurgeons | |
|
5 Saint Vincent Cir Ste 100 Little Rock AR 72205 | |
| (501) 663-6455 | |
| (501) 663-4877 |
| Full Name | Orthosurgeons |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 5 Saint Vincent Cir Ste 100, Little Rock, Arkansas |
| Authorized Official Name and Position | Beverly Kaye Hearne (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5018018436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthosurgeons 5 Saint Vincent Cir Ste 100 Little Rock AR 72205-5415 Ph: (501) 663-6455 | Orthosurgeons 5 Saint Vincent Cir Ste 100 Little Rock AR 72205 Ph: (501) 663-6455 |
| NPI Number | 1508877903 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 05/15/2018 |
| Medicare PECOS PAC ID | 3971580903 |
|---|---|
| Medicare Enrollment ID | O20040707000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508877903 | NPI | - | NPPES |
| 122050002 | Medicaid | AR | |
| 152501742 | Medicaid | AR |
| Provider Name | Joe W Crow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396700829 PECOS PAC ID: 7618870429 Enrollment ID: I20040707000549 |
| Provider Name | William F Hefley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437116787 PECOS PAC ID: 9436053931 Enrollment ID: I20040720000238 |
| Provider Name | Jesse Burks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164492989 PECOS PAC ID: 1951486414 Enrollment ID: I20080425000339 |
| Provider Name | Jason G Stewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568427573 PECOS PAC ID: 4789767864 Enrollment ID: I20091202000016 |
| Provider Name | David M Rhodes |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1386609360 PECOS PAC ID: 7517040694 Enrollment ID: I20091202000740 |
| Provider Name | Larry L Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871585752 PECOS PAC ID: 9638240815 Enrollment ID: I20091208000618 |
| Provider Name | William S Bowen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730146986 PECOS PAC ID: 1052215597 Enrollment ID: I20091209000092 |
| Provider Name | Debra F Williamson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851358089 PECOS PAC ID: 6507053931 Enrollment ID: I20101209001433 |
| Provider Name | Lisa Gail Sallings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841257615 PECOS PAC ID: 2062698392 Enrollment ID: I20110520000178 |
| Provider Name | Ralph S Longinotti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770548851 PECOS PAC ID: 0749467892 Enrollment ID: I20110527000156 |
| Provider Name | Matthew W Thornton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457316572 PECOS PAC ID: 0941479075 Enrollment ID: I20110808000139 |
| Provider Name | Samuel A Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881859478 PECOS PAC ID: 0749445997 Enrollment ID: I20120713000169 |
| Provider Name | Paul K Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235289596 PECOS PAC ID: 6608952031 Enrollment ID: I20120723000217 |
| Provider Name | Jesse David Abeler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619397262 PECOS PAC ID: 0143556456 Enrollment ID: I20200706000634 |
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