Michael Agbor, | |
4301 W Markham St, Little Rock, AR 72205-7101 | |
(225) 324-9770 | |
Not Available |
Full Name | Michael Agbor |
---|---|
Gender | Male |
Speciality | Registered Nurse - Critical Care Medicine |
Location | 4301 W Markham St, 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 |
---|---|---|---|
1730861287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 159060 (Louisiana) | Primary |
Entity Name | University Of Arkansas For Medical Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
Entity Name | University Of Arkansas For Medical Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
Entity Name | St Vincent Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624 |
Mailing Address | Practice Location Address |
---|---|
Michael Agbor, 4301 W Markham St, Little Rock, AR 72205-7101 Ph: (225) 324-9770 | Michael Agbor, 4301 W Markham St, Little Rock, AR 72205-7101 Ph: (225) 324-9770 |
Deborah Wilmoth, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2 Saint Vincent Cir, Little Rock, AR 72205 Phone: 501-664-4532 Fax: 501-663-4335 | |
Megan E Cruce, A.P.N. Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1 Lile Ct Ste 100, Little Rock, AR 72205 Phone: 501-202-1902 Fax: 501-202-1512 | |
Laquita Ann Charles, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6601 W 12th St, Little Rock, AR 72204 Phone: 501-666-8686 | |
Keressa Lynn Jones, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000 | |
Ms. Tarah Adrianne Elrod, CRNA Registered Nurse Medicare: Medicare Enrolled Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-8000 | |
Hailey Nicole Webb, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1900 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-821-5459 | |
Kathleen Ann Keough, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000 |