Adrienne Marie Koder, | |
1 Childrens Way # 653, Little Rock, AR 72202-3500 | |
(501) 364-1100 | |
Not Available |
Full Name | Adrienne Marie Koder |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 1 Childrens Way # 653, 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 |
---|---|---|---|
1003208695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | E-14374 (Arkansas) | Primary |
Entity Name | University Of Arkansas For Medical Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
Entity Name | Arkansas Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
Mailing Address | Practice Location Address |
---|---|
Adrienne Marie Koder, Po Box 251418, Little Rock, AR 72225-1418 Ph: (501) 364-1100 | Adrienne Marie Koder, 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100 |
Dr. Tyler Lewis Carllee, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Dr. Ashley Sloan Ross, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4700 West 7th Street, 112/lr, Little Rock, AR 72205 Phone: 501-257-1000 | |
Dr. Kirk Allen Reynolds, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 Fair Park Blvd, Little Rock, AR 72204 Phone: 501-663-3647 Fax: 501-666-9652 | |
Michael M Hussey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 Fair Park Blvd, Little Rock, AR 72204 Phone: 501-663-3647 Fax: 501-666-9653 | |
Dr. Ethan J Schock, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 Fair Park Blvd, Little Rock, AR 72204 Phone: 501-663-3647 Fax: 501-666-9653 | |
Dr. Sean Michael Morell, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-526-1046 Fax: 501-526-7201 |