Matthew Christopher Pertzborn, MD | |
1 Childrens Way # 512-17, Little Rock, AR 72202-3591 | |
(501) 364-1006 | |
(501) 364-3930 |
Full Name | Matthew Christopher Pertzborn |
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Gender | Male |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 1 Childrens Way # 512-17, 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 |
---|---|---|---|
1194161869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | ME127219 (Florida) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | E-11842 (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 |
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Matthew Christopher Pertzborn, MD 1 Childrens Way # 512-17, Little Rock, AR 72202-3591 Ph: (501) 364-1006 | Matthew Christopher Pertzborn, MD 1 Childrens Way # 512-17, Little Rock, AR 72202-3591 Ph: (501) 364-1006 |
Amber Michele Morse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-16, Little Rock, AR 72202 Phone: 501-364-1050 Fax: 501-364-6931 | |
Dustin Edward Williford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-8, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-2963 | |
Kristyn N Jeffries, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418 | |
Thanh Thanh Dai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-24a, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Indirapriya Darshini Avulakunta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418 | |
Mohy Morris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Way # 512-17, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-3930 | |
Ashley Wilcox Halpain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 904 Autumn Rd Ste 100, Little Rock, AR 72211 Phone: 501-224-5437 |