| Digestive Care P A | |
|
4800 S Hazel St Pine Bluff AR 71603-6860 | |
| (870) 534-5533 | |
| (870) 534-5535 |
| Full Name | Digestive Care P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 4800 S Hazel St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Frances Stucks (ADMINISTRATOR) |
| Authorized Official Contact | 8705345533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Care P A Po Box 2797 Pine Bluff AR 71613-2797 Ph: (870) 534-5533 | Digestive Care P A 4800 S Hazel St Pine Bluff AR 71603-6860 Ph: (870) 534-5533 |
| NPI Number | 1629030358 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 09/14/2010 |
| Medicare PECOS PAC ID | 7810011905 |
|---|---|
| Medicare Enrollment ID | O20100826000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629030358 | NPI | - | NPPES |
| 12162000000 | Other | QUAL CHOICE | |
| 5B793 | Other | AR | BLUE CROSS BLUE SHIELD |
| DG3779 | Other | AR | RAILROAD MEDICARE |
| 4600296 | Other | AETNA | |
| 2920027 | Other | UNITED HEALTHCARE | |
| 129049002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Syed A Samad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174585814 PECOS PAC ID: 4284522194 Enrollment ID: I20040310001072 |
| Provider Name | Meenakshi Budhraja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700931755 PECOS PAC ID: 0749274215 Enrollment ID: I20040408001391 |
| Provider Name | Chun-yang Fan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700976297 PECOS PAC ID: 6103924196 Enrollment ID: I20070614000742 |
| Provider Name | Brian L Mcgee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497979652 PECOS PAC ID: 5799860482 Enrollment ID: I20080305000181 |
| Provider Name | Cyrus P Tamboli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265420830 PECOS PAC ID: 6002887569 Enrollment ID: I20120113000294 |
| Provider Name | Charles Sandor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649776659 PECOS PAC ID: 4587912720 Enrollment ID: I20210915003766 |
| Provider Name | Ioannis Papayannis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013250554 PECOS PAC ID: 3173853405 Enrollment ID: I20231206003968 |
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