| Specialty Care Solutions | |
|
110 W Colonel Glenn Rd Little Rock AR 72210-5848 | |
| (501) 821-4300 | |
| (501) 821-4300 |
| Full Name | Specialty Care Solutions |
|---|---|
| Speciality | Family Medicine |
| Location | 110 W Colonel Glenn Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Michelle Lauren Defort (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5018214300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Care Solutions 110 W Colonel Glenn Rd Little Rock AR 72210-5848 Ph: (501) 821-4300 | Specialty Care Solutions 110 W Colonel Glenn Rd Little Rock AR 72210-5848 Ph: (501) 821-4300 |
| NPI Number | 1023626207 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 08/12/2020 |
| Medicare PECOS PAC ID | 8729403506 |
|---|---|
| Medicare Enrollment ID | O20200811001163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023626207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebecca A Parham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962630079 PECOS PAC ID: 3375699861 Enrollment ID: I20091009000122 |
| Provider Name | William S Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346229820 PECOS PAC ID: 8628153863 Enrollment ID: I20100713000597 |
| Provider Name | Julia A Mullenax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376987719 PECOS PAC ID: 3779723937 Enrollment ID: I20130711000308 |
| Provider Name | Jill S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942626619 PECOS PAC ID: 9931322179 Enrollment ID: I20140515002018 |
| Provider Name | Susan K Griffeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366508780 PECOS PAC ID: 7618871013 Enrollment ID: I20150922002257 |
| Provider Name | Laura J Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770007700 PECOS PAC ID: 9739445578 Enrollment ID: I20171109003373 |
| Provider Name | Carrie Murphy Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437792298 PECOS PAC ID: 6800229451 Enrollment ID: I20191212000645 |
| Provider Name | Courtney N. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659911253 PECOS PAC ID: 8921435413 Enrollment ID: I20200221001953 |
| Provider Name | Hannah A Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487290961 PECOS PAC ID: 8527496314 Enrollment ID: I20200309002176 |
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