Infectious Disease Resource Group Llp | |
1 Saint Vincent Cir Suite 160 Little Rock AR 72205-5405 | |
(501) 661-0037 | |
(501) 661-0038 |
Full Name | Infectious Disease Resource Group Llp |
---|---|
Speciality | Internal Medicine |
Location | 1 Saint Vincent Cir, Little Rock, Arkansas |
Authorized Official Name and Position | John E Dietrich (PARTNER) |
Authorized Official Contact | 5016610037 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Infectious Disease Resource Group Llp 1 Saint Vincent Cir Suite 160 Little Rock AR 72205-5405 Ph: (501) 661-0037 | Infectious Disease Resource Group Llp 1 Saint Vincent Cir Suite 160 Little Rock AR 72205-5405 Ph: (501) 661-0037 |
NPI Number | 1447280995 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 05/06/2014 |
Medicare PECOS PAC ID | 9234036450 |
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Medicare Enrollment ID | O20031216000701 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447280995 | NPI | - | NPPES |
143985002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Dwight A. Lindley |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1639149040 PECOS PAC ID: 3577460799 Enrollment ID: I20101120000168 |
Provider Name | Naveen Patil |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1295959450 PECOS PAC ID: 9133303340 Enrollment ID: I20110413000451 |
Provider Name | John Dietrich |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1417927807 PECOS PAC ID: 9931006152 Enrollment ID: I20111005000171 |
Provider Name | Sandra E Chai |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1881664159 PECOS PAC ID: 1254503154 Enrollment ID: I20111019000638 |
Provider Name | Atul Kothari |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1265749626 PECOS PAC ID: 9739306671 Enrollment ID: I20140815002087 |
Provider Name | Brandon E Walser |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1134363716 PECOS PAC ID: 4688892631 Enrollment ID: I20140904001299 |
Provider Name | Danielle L Leeper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669924817 PECOS PAC ID: 0547543183 Enrollment ID: I20170206002649 |
Provider Name | Katherine M Ferren |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1326305590 PECOS PAC ID: 8325340078 Enrollment ID: I20170419000362 |
Provider Name | Jessica K Frazier |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1689036329 PECOS PAC ID: 8022300110 Enrollment ID: I20210302001411 |
Provider Name | Priyenka Thapa |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1023471885 PECOS PAC ID: 8325330228 Enrollment ID: I20210330002306 |
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