Paula Knod Fuller, CRNA | |
9601 Interstate 630 Exit 7, Exit 7, Little Rock, AR 72205-7202 | |
(501) 202-2093 | |
Not Available |
Full Name | Paula Knod Fuller |
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Gender | Female |
Speciality | Anesthesiology |
Location | 9601 Interstate 630 Exit 7, 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 |
---|---|---|---|
1306944053 | NPI | - | NPPES |
138802701 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C00893 (Arkansas) | Primary |
Entity Name | Arkansas Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
Entity Name | Arkansas Surgical Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417439944 PECOS PAC ID: 5496793390 Enrollment ID: O20181017000632 |
Entity Name | Arkansas Surgical Hospital Llc |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1265192835 PECOS PAC ID: 5496793390 Enrollment ID: O20220628002353 |
Mailing Address | Practice Location Address |
---|---|
Paula Knod Fuller, CRNA 112 Quapaw Trl, Maumelle, AR 72113-5856 Ph: (501) 416-0687 | Paula Knod Fuller, CRNA 9601 Interstate 630 Exit 7, Exit 7, Little Rock, AR 72205-7202 Ph: (501) 202-2093 |
Faber A White, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 S Shackleford Rd, Little Rock, AR 72211 Phone: 501-219-7481 | |
Louis W Sessions, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9601 Interstate 630 Exit 7, Little Rock, AR 72205 Phone: 501-202-2093 | |
David M Dean, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9601 Interstate 630 Exit 7, Little Rock, AR 72205 Phone: 501-202-2093 | |
Ken Wade, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9601 Interstate 630 Exit 7, Little Rock, AR 72205 Phone: 501-202-2093 | |
Garry Jones, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 S University Ave, Suite 505, Little Rock, AR 72205 Phone: 501-664-4532 Fax: 501-663-4335 | |
Mrs. Tatiana Puntarelli, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 203, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Gregory Ryan Mehaffey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 |