Kristopher B Shewmake, MD | |
9500 Kanis Road, Ste 501, Little Rock, AR 72205 | |
(501) 219-8388 | |
(501) 217-2520 |
Full Name | Kristopher B Shewmake |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 9500 Kanis Road, 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 |
---|---|---|---|
1164474722 | NPI | - | NPPES |
111463001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | C6666 (Arkansas) | Primary |
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 |
---|---|
Kristopher B Shewmake, MD 4301 W Markham St # 783, Little Rock, AR 72205-7101 Ph: (501) 686-8000 | Kristopher B Shewmake, MD 9500 Kanis Road, Ste 501, Little Rock, AR 72205 Ph: (501) 219-8388 |
Gary E Talbert, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 9500 Kanis Road, Ste 501, Little Rock, AR 72205 Phone: 501-219-8388 Fax: 501-217-2520 | |
Melanie Denise Prince, MD Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 8201 Cantrell Rd, Ste 265, Little Rock, AR 72227 Phone: 501-225-3333 Fax: 501-225-3338 | |
David H Bauer, MD Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 9500 Kanis Road, Suite 501, Little Rock, AR 72205 Phone: 501-219-8388 Fax: 501-217-2520 | |
Gina Nicole Sacks, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 210, Little Rock, AR 72202 Phone: 501-364-1479 Fax: 501-364-3667 | |
Dr. Thomas Robert Moffett Jr., MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11300 N Rodney Parham Rd, Suite 210, Little Rock, AR 72212 Phone: 501-663-4100 Fax: 501-663-4145 | |
Roger Wilbert Anderson, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2200 N Rodney Parham Rd, Suite 200, Little Rock, AR 72212 Phone: 501-219-8000 |