Christie S Black, CRNA | |
6119 Midtown Ave, Suite 201, Little Rock, AR 72205-5313 | |
(501) 664-4532 | |
(501) 663-4335 |
Full Name | Christie S Black |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6119 Midtown Ave, 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 |
---|---|---|---|
1770500282 | NPI | - | NPPES |
162212001 | Medicaid | AR | |
075464 | Other | AANA MEMBER NUMBER | |
5Y948 | Other | AR | AR BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CTP000016 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C002620 (Arkansas) | Primary |
Entity Name | Nurse Anesthetist Professionals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689661696 PECOS PAC ID: 5890680714 Enrollment ID: O20040219000324 |
Entity Name | Gastro Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366700890 PECOS PAC ID: 3577727700 Enrollment ID: O20120619000424 |
Mailing Address | Practice Location Address |
---|---|
Christie S Black, CRNA 6119 Midtown Ave, Suite 201, Little Rock, AR 72205-5313 Ph: (501) 664-4532 | Christie S Black, CRNA 6119 Midtown Ave, Suite 201, Little Rock, AR 72205-5313 Ph: (501) 664-4532 |
Benjamin Mizell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 | |
Dr. Ethan Taylor Lewis, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12921 Cantrell Rd, Little Rock, AR 72223 Phone: 501-615-8296 | |
Kasia Pabian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2018 N Garfield St, Little Rock, AR 72207 Phone: 501-614-9998 Fax: 501-325-1491 | |
John W Woodell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 N Rodney Parham Rd, No 203, Little Rock, AR 72212 Phone: 615-620-2320 Fax: 615-620-2323 | |
Barbara C Lenarduzzi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11401 Interstate 30, Little Rock, AR 72209 Phone: 501-455-7100 | |
Brent Anthony Lea, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205 Phone: 501-686-6114 Fax: 501-686-8139 | |
Anthony L Bridges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 |