| Ellen Corinne Deorbegozo, RDN | |
|
10915 N Rodney Parham Rd Ste G, Little Rock, AR 72212-4114 | |
| (501) 202-4294 | |
| (501) 202-4299 |
| Full Name | Ellen Corinne Deorbegozo |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 10915 N Rodney Parham Rd Ste G, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326644683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86173908 (Arkansas) | Primary |
| Provider Name | American Health Assessments, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497027098 PECOS PAC ID: 3870755564 Enrollment ID: O20120425000323 |
| Provider Name | Zipongo Health Provider Group P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972146694 PECOS PAC ID: 0547666448 Enrollment ID: O20211110002124 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Corinne Deorbegozo, RDN 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 812-7215 | Ellen Corinne Deorbegozo, RDN 10915 N Rodney Parham Rd Ste G, Little Rock, AR 72212-4114 Ph: (501) 202-4294 |
Central Arkansas Radiation Therapy Institute Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 | |
April M Hobbs, MS, RD, CSP, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, Slot 574-01, Little Rock, AR 72205 Phone: 501-686-5788 | |
Ms. Alexandria Bridges, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000 | |
Ms. Ambrazia Sublett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4710 Sam Peck Rd # 1-2004, Little Rock, AR 72223 Phone: 615-674-0336 | |
Cathryn Rene Woods, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, 120/lr, Little Rock, AR 72205 Phone: 502-257-6760 | |
Mrs. Courtney Byrum, MS, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4 Shackleford Plz Ste 209, Little Rock, AR 72211 Phone: 501-779-8327 Fax: 501-500-5750 | |
Eric James Siebenmorgen, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1701 S Shackleford Rd, Little Rock, AR 72211 Phone: 501-219-7000 |