| Hospital Medicine | |
|
2 Saint Vincent Cir # 6 Little Rock AR 72205-5423 | |
| (501) 265-0600 | |
| Not Available |
| Full Name | Hospital Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Saint Vincent Cir # 6, Little Rock, Arkansas |
| Authorized Official Name and Position | David E Rainosek (MEMBER) |
| Authorized Official Contact | 5012650600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Medicine 2 Saint Vincent Cir # 6 Little Rock AR 72205-5423 Ph: (501) 265-0600 | Hospital Medicine 2 Saint Vincent Cir # 6 Little Rock AR 72205-5423 Ph: (501) 265-0600 |
| NPI Number | 1396284105 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Medicare PECOS PAC ID | 8123304367 |
|---|---|
| Medicare Enrollment ID | O20170424001913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396284105 | NPI | - | NPPES |
| 198787001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-8093 (Arkansas) | Primary |
| Provider Name | William A Dodson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235116625 PECOS PAC ID: 0840284956 Enrollment ID: I20050303000995 |
| Provider Name | Bilal Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275791402 PECOS PAC ID: 7416149687 Enrollment ID: I20101006000337 |
| Provider Name | Brian Bean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003870049 PECOS PAC ID: 3476730524 Enrollment ID: I20110527000162 |
| Provider Name | Raja K Pola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770771297 PECOS PAC ID: 6103005525 Enrollment ID: I20110613000839 |
| Provider Name | Wassim T Radwan Abd El Wahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629208434 PECOS PAC ID: 1951559335 Enrollment ID: I20120910000065 |
| Provider Name | David E Rainosek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326359472 PECOS PAC ID: 2668613779 Enrollment ID: I20130731000734 |
| Provider Name | Kaitlen F Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134614928 PECOS PAC ID: 3779827043 Enrollment ID: I20181128001130 |
| Provider Name | Mohsin Altaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083235113 PECOS PAC ID: 1456728724 Enrollment ID: I20221031002011 |
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