| Bhg Medical Services-north Little Rock | |
|
4260 Stockton Dr Ste A North Little Rock AR 72117-2915 | |
| (501) 916-9129 | |
| (501) 916-9770 |
| Full Name | Bhg Medical Services-north Little Rock |
|---|---|
| Speciality | Clinic/Center |
| Location | 4260 Stockton Dr Ste A, North Little Rock, Arkansas |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Medical Services-north Little Rock 5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 Ph: (214) 365-6100 | Bhg Medical Services-north Little Rock 4260 Stockton Dr Ste A North Little Rock AR 72117-2915 Ph: (501) 916-9129 |
| NPI Number | 1699321406 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 02/28/2020 |
| Certification Date | 02/28/2020 |
| Medicare PECOS PAC ID | 0547699225 |
|---|---|
| Medicare Enrollment ID | O20200331003025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699321406 | NPI | - | NPPES |
| Provider Name | Richard Phillip Doncer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962455212 PECOS PAC ID: 5193774263 Enrollment ID: I20050114000727 |
| Provider Name | Teresa M Maxwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629009451 PECOS PAC ID: 6406801810 Enrollment ID: I20050318000379 |
| Provider Name | Dalton L Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033283155 PECOS PAC ID: 1153367909 Enrollment ID: I20050630001173 |
| Provider Name | Charles L Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639173396 PECOS PAC ID: 1557458304 Enrollment ID: I20071026000230 |
| Provider Name | David A Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962511808 PECOS PAC ID: 8527149194 Enrollment ID: I20080122000178 |
| Provider Name | Khalid Rayaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023107935 PECOS PAC ID: 5193878379 Enrollment ID: I20090805000643 |
| Provider Name | Larkus H Pesnell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033193966 PECOS PAC ID: 6305971904 Enrollment ID: I20100322000558 |
| Provider Name | Susan H Rogerson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184631376 PECOS PAC ID: 5890810113 Enrollment ID: I20100909001203 |
| Provider Name | Matthew Joseph Burrous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568822401 PECOS PAC ID: 9234429754 Enrollment ID: I20160610001791 |
| Provider Name | Tiffany Spargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073099198 PECOS PAC ID: 1456604222 Enrollment ID: I20181024000904 |
| Provider Name | Mustafa Rayaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558744128 PECOS PAC ID: 3870841018 Enrollment ID: I20181206001158 |
| Provider Name | Laterica House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730579814 PECOS PAC ID: 7012233307 Enrollment ID: I20200714000879 |
| Provider Name | Laurie S Stiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942630959 PECOS PAC ID: 9436480910 Enrollment ID: I20201214002213 |
| Provider Name | Allison Gage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790380574 PECOS PAC ID: 9830595735 Enrollment ID: I20210901000379 |
| Provider Name | Roshan Sharma |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548266083 PECOS PAC ID: 6002822525 Enrollment ID: I20210914000440 |
| Provider Name | Amanda Lynn Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770212219 PECOS PAC ID: 6608240981 Enrollment ID: I20230328003058 |
| Provider Name | Heather Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902552953 PECOS PAC ID: 4981091170 Enrollment ID: I20230406001419 |
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