Samuel Smith, MD | |
1 Childrens Way # 653, Little Rock, AR 72202-3500 | |
(501) 364-1100 | |
(501) 364-4082 |
Full Name | Samuel Smith |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric 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 |
---|---|---|---|
1124118799 | NPI | - | NPPES |
55251 | Other | AR | BLUE CROSS BLUE SHIELD |
C5848 | Other | AR | TRICARE |
121199001 | Medicaid | AR | |
020033263 | Other | AR | RAILROAD MEDICARE |
12039000000 | Other | AR | QUALCHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | C-5848 (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 |
---|---|
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 |
---|---|
Samuel Smith, MD Po Box 251418, Little Rock, AR 72225-1418 Ph: (501) 364-1100 | Samuel Smith, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100 |
Charles Wesley Wagner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12609 Saint Charles Blvd, Little Rock, AR 72211 Phone: 501-680-0738 | |
Sandra Minerva Garcia Osogobio, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 520, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Mrs. Elaine Marie Thrash, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 | |
Oleksiy Gudz, M.D.,PHD Surgery Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 520-2, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5328 | |
Mrs. Chelsea Nicole Scherz, APRN Surgery Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Jonathan Amarkwei Laryea, MB CHB Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Slot 520, Little Rock, AR 72205 Phone: 501-686-6648 Fax: 501-686-7280 | |
Dr. Jordan W Greer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4110 Outpatient Circle, Outpatient Center, Third Floor, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5855 |