| Internal Medicine Associates Of North Little Rock | |
|
1701 Club Manor Dr Ste 2b Maumelle AR 72113-7401 | |
| (501) 851-7402 | |
| (501) 851-4753 |
| Full Name | Internal Medicine Associates Of North Little Rock |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 Club Manor Dr Ste 2b, Maumelle, Arkansas |
| Authorized Official Name and Position | Will L Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of North Little Rock 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7800 | Internal Medicine Associates Of North Little Rock 1701 Club Manor Dr Ste 2b Maumelle AR 72113-7401 Ph: (501) 851-7402 |
| NPI Number | 1932118890 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20040726000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932118890 | NPI | - | NPPES |
| 130814002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | William L Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720044548 PECOS PAC ID: 2163417544 Enrollment ID: I20040415001045 |
| Provider Name | Eric Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730198243 PECOS PAC ID: 7012908080 Enrollment ID: I20040519000677 |
| Provider Name | Cara B Ballard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457310476 PECOS PAC ID: 2961471776 Enrollment ID: I20040929000108 |
| Provider Name | Jeffrey H Bordelon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033267679 PECOS PAC ID: 8729983390 Enrollment ID: I20041012000800 |
| Provider Name | Ghassan O Wali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952361479 PECOS PAC ID: 1456321389 Enrollment ID: I20050929001378 |
| Provider Name | Stephanie G Cody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275632903 PECOS PAC ID: 4486679131 Enrollment ID: I20051011001104 |
| Provider Name | Chrysti L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992764518 PECOS PAC ID: 3476576604 Enrollment ID: I20060125000659 |
| Provider Name | Ejaz Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053411942 PECOS PAC ID: 8123021029 Enrollment ID: I20060815000162 |
| Provider Name | William C Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275584690 PECOS PAC ID: 4688637457 Enrollment ID: I20070209000016 |
| Provider Name | Morgan Norton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487622668 PECOS PAC ID: 4486750189 Enrollment ID: I20070425000697 |
| Provider Name | Urooj Mansoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396839098 PECOS PAC ID: 6507962966 Enrollment ID: I20070501000231 |
| Provider Name | Charles Vermont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912904251 PECOS PAC ID: 8527168731 Enrollment ID: I20070717000092 |
| Provider Name | Melanie Deborah Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306922497 PECOS PAC ID: 9830283811 Enrollment ID: I20070921000078 |
| Provider Name | Michael Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538137633 PECOS PAC ID: 3072609577 Enrollment ID: I20071015000182 |
| Provider Name | Gregory S Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457459182 PECOS PAC ID: 1355437328 Enrollment ID: I20071022000838 |
| Provider Name | Carl L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437264033 PECOS PAC ID: 0941377964 Enrollment ID: I20080917000379 |
| Provider Name | Gary P Gehrki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295752368 PECOS PAC ID: 1052465374 Enrollment ID: I20090820000202 |
| Provider Name | Ivan Quintanar-smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235365800 PECOS PAC ID: 6103963277 Enrollment ID: I20091021000706 |
| Provider Name | David J Geidl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871774075 PECOS PAC ID: 4789753591 Enrollment ID: I20091027000898 |
| Provider Name | Chandra Lingisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740411511 PECOS PAC ID: 9436298981 Enrollment ID: I20091123000605 |
| Provider Name | Joseph Glenn Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730188053 PECOS PAC ID: 5698818144 Enrollment ID: I20100205000063 |
| Provider Name | Michael C Church |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902815558 PECOS PAC ID: 0244365187 Enrollment ID: I20100317000984 |
| Provider Name | Kathy S Parnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992714505 PECOS PAC ID: 6507991353 Enrollment ID: I20100318000061 |
| Provider Name | Priyantha N Wijewardane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104811108 PECOS PAC ID: 7012043565 Enrollment ID: I20100412000096 |
| Provider Name | Allen Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134178841 PECOS PAC ID: 9335122761 Enrollment ID: I20100415000211 |
| Provider Name | Deborah L Bursey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154359099 PECOS PAC ID: 8022194869 Enrollment ID: I20100427000851 |
| Provider Name | Eric M Bravo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154402444 PECOS PAC ID: 7719016369 Enrollment ID: I20100520000444 |
| Provider Name | Vivian F Highsmith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437166774 PECOS PAC ID: 6901937994 Enrollment ID: I20100708001010 |
| Provider Name | Jemeca D Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306059753 PECOS PAC ID: 3274666060 Enrollment ID: I20100730000234 |
| Provider Name | Kalyana C Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841450343 PECOS PAC ID: 3577619691 Enrollment ID: I20100802000144 |
| Provider Name | James A Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699939223 PECOS PAC ID: 9032233978 Enrollment ID: I20100830001090 |
| Provider Name | Suman Siddamreddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205023207 PECOS PAC ID: 7315130804 Enrollment ID: I20101015000942 |
| Provider Name | Robert A Dorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598764896 PECOS PAC ID: 7517142607 Enrollment ID: I20110505000403 |
| Provider Name | Dirk T Haselow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679746622 PECOS PAC ID: 0446428817 Enrollment ID: I20110801000008 |
| Provider Name | William W Thorpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013148832 PECOS PAC ID: 7012183155 Enrollment ID: I20111220000640 |
| 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 | Courtney Leann Edgar-zarate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740499961 PECOS PAC ID: 1254465008 Enrollment ID: I20130601000058 |
| Provider Name | Kristen N Brandon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942434394 PECOS PAC ID: 1850534306 Enrollment ID: I20130830000572 |
| Provider Name | Bala M Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487970521 PECOS PAC ID: 0143454983 Enrollment ID: I20131009001267 |
| Provider Name | Alfred W Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982920799 PECOS PAC ID: 5294969861 Enrollment ID: I20131015000296 |
| Provider Name | Paige M Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396060190 PECOS PAC ID: 2264669845 Enrollment ID: I20131206000857 |
| Provider Name | Franklin J Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912226234 PECOS PAC ID: 1759510647 Enrollment ID: I20140219001423 |
| Provider Name | Samer Nakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851591358 PECOS PAC ID: 8729264718 Enrollment ID: I20140226001081 |
| Provider Name | Sarah A Yans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245502640 PECOS PAC ID: 8123249836 Enrollment ID: I20141022001008 |
| Provider Name | Arthur Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407898588 PECOS PAC ID: 3779573977 Enrollment ID: I20141229000334 |
| Provider Name | Jonathan C Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295025914 PECOS PAC ID: 5092026914 Enrollment ID: I20150618002872 |
| Provider Name | Michelle L Driskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497123129 PECOS PAC ID: 7214245406 Enrollment ID: I20151008000999 |
| Provider Name | Lensey C Scott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225126626 PECOS PAC ID: 7416082797 Enrollment ID: I20151223000334 |
| Provider Name | Amanda J Novack |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316100092 PECOS PAC ID: 2264606326 Enrollment ID: I20160203000750 |
| Provider Name | Katrena L Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952769614 PECOS PAC ID: 2769788165 Enrollment ID: I20160310002238 |
| Provider Name | Nishank Jain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497954515 PECOS PAC ID: 2567781057 Enrollment ID: I20160504002553 |
| Provider Name | Ahmad Yousaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033405824 PECOS PAC ID: 8527375773 Enrollment ID: I20160827000028 |
| Provider Name | Mahesh Bavineni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013353150 PECOS PAC ID: 6800184615 Enrollment ID: I20161011002413 |
| Provider Name | Timothy T Dietrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053654608 PECOS PAC ID: 0446576979 Enrollment ID: I20161020002351 |
| Provider Name | Teresa Bau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699153338 PECOS PAC ID: 8123308160 Enrollment ID: I20161208000181 |
| Provider Name | Samuel Maghidman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821086703 PECOS PAC ID: 0547296907 Enrollment ID: I20161220000789 |
| Provider Name | Nawal S Shekhawat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265653372 PECOS PAC ID: 8527107531 Enrollment ID: I20170321002039 |
| Provider Name | Amy M Niemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629511993 PECOS PAC ID: 9931484086 Enrollment ID: I20170403000108 |
| Provider Name | Marwan S Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881054328 PECOS PAC ID: 2769774843 Enrollment ID: I20170510001501 |
| Provider Name | Naveen Yarlagadda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396013363 PECOS PAC ID: 8123262920 Enrollment ID: I20170616000985 |
| Provider Name | Omar Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770991754 PECOS PAC ID: 7719281310 Enrollment ID: I20170811001371 |
| Provider Name | Brett A Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255851515 PECOS PAC ID: 3274804026 Enrollment ID: I20170812000014 |
| Provider Name | Jeffrey D Thessing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790103190 PECOS PAC ID: 3779809538 Enrollment ID: I20170814002518 |
| Provider Name | Brandi Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831630219 PECOS PAC ID: 0648542795 Enrollment ID: I20170824000053 |
| Provider Name | Audie R Aderholt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366861601 PECOS PAC ID: 6406172048 Enrollment ID: I20170906003060 |
| Provider Name | Daniel L Eubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528582186 PECOS PAC ID: 6709151681 Enrollment ID: I20171003004345 |
| Provider Name | Rafay S Abbasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447699822 PECOS PAC ID: 1456570589 Enrollment ID: I20171130003088 |
| Provider Name | Olivia K Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194232439 PECOS PAC ID: 6406117621 Enrollment ID: I20180305002046 |
| Provider Name | Samuel Leibovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063585164 PECOS PAC ID: 4183727753 Enrollment ID: I20180410002341 |
| Provider Name | Muhammad R Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497160691 PECOS PAC ID: 6305066960 Enrollment ID: I20180625003377 |
| Provider Name | Kanishk Agnihotri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023427820 PECOS PAC ID: 2365718640 Enrollment ID: I20180629002043 |
| Provider Name | Jamie D Trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477949238 PECOS PAC ID: 5597011288 Enrollment ID: I20180711001172 |
| Provider Name | Brian Bowlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548657406 PECOS PAC ID: 5799090981 Enrollment ID: I20180830001834 |
| Provider Name | Hira I Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609258938 PECOS PAC ID: 7517257124 Enrollment ID: I20180914002331 |
| Provider Name | Matthew S Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790166445 PECOS PAC ID: 0840504957 Enrollment ID: I20181019000294 |
| Provider Name | Anna K Szwedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477938009 PECOS PAC ID: 5294079729 Enrollment ID: I20181210002641 |
| Provider Name | Muhammad Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184038598 PECOS PAC ID: 4880950401 Enrollment ID: I20181211000968 |
| Provider Name | Gloria J Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245746932 PECOS PAC ID: 8527307222 Enrollment ID: I20190225000577 |
| Provider Name | Courtney L Bundrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144683343 PECOS PAC ID: 8325330848 Enrollment ID: I20190624000748 |
| Provider Name | Negar Salehi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326427931 PECOS PAC ID: 4385992908 Enrollment ID: I20190826002575 |
| Provider Name | Mitchell B Jenkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093100422 PECOS PAC ID: 4183930365 Enrollment ID: I20190906000768 |
| Provider Name | Fuad Jamal Habash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750764452 PECOS PAC ID: 6002123734 Enrollment ID: I20190911000249 |
| Provider Name | Andrew M Briggler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902284326 PECOS PAC ID: 0143531483 Enrollment ID: I20190919001438 |
| Provider Name | Atif Khawaja Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588097596 PECOS PAC ID: 3971806522 Enrollment ID: I20191114000674 |
| Provider Name | Dinesh Atwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114313962 PECOS PAC ID: 5991011322 Enrollment ID: I20191126000981 |
| Provider Name | Pierre J Gonsalves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275793101 PECOS PAC ID: 0345437976 Enrollment ID: I20200123000717 |
| Provider Name | Penny Kaye Bettis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134767627 PECOS PAC ID: 7113353574 Enrollment ID: I20200203000808 |
| Provider Name | Peter Y Shi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336569904 PECOS PAC ID: 6901178946 Enrollment ID: I20200305000220 |
| Provider Name | Dolcine Dalmacy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184664666 PECOS PAC ID: 4587552278 Enrollment ID: I20200305001754 |
| Provider Name | Orin Paul Trentham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992740260 PECOS PAC ID: 1850489568 Enrollment ID: I20200319002706 |
| Provider Name | Anwar Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477661825 PECOS PAC ID: 6709848344 Enrollment ID: I20200505000324 |
| Provider Name | Franklin W Welborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275996944 PECOS PAC ID: 5193017325 Enrollment ID: I20200610000747 |
| Provider Name | Dustin Joseph Ybarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336675628 PECOS PAC ID: 6305268525 Enrollment ID: I20200617000269 |
| Provider Name | Lovepreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578096905 PECOS PAC ID: 1951670157 Enrollment ID: I20200617001002 |
| Provider Name | Alexander Kaczenski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629431192 PECOS PAC ID: 5496895419 Enrollment ID: I20200617003123 |
| Provider Name | Jeffery R Mack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571779 PECOS PAC ID: 2264700707 Enrollment ID: I20200804000384 |
| Provider Name | Sheza T Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720508195 PECOS PAC ID: 9638595853 Enrollment ID: I20200819001304 |
| Provider Name | Shamna Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063935245 PECOS PAC ID: 0446502314 Enrollment ID: I20200825003389 |
| Provider Name | Pratusha Yadavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306208418 PECOS PAC ID: 9537443304 Enrollment ID: I20200929001810 |
| Provider Name | Sherika N Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295329761 PECOS PAC ID: 1052728664 Enrollment ID: I20210327000014 |
| Provider Name | Chrystal Marie Scott-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225622608 PECOS PAC ID: 1254749252 Enrollment ID: I20210412001524 |
| Provider Name | Joseph M Sturdivant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053514455 PECOS PAC ID: 7517123342 Enrollment ID: I20210419000037 |
| Provider Name | Jochebed Israel Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205826492 PECOS PAC ID: 5496724437 Enrollment ID: I20210422000938 |
| Provider Name | Katherine L Burck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487768719 PECOS PAC ID: 3971591066 Enrollment ID: I20210505000352 |
| Provider Name | Hani Alturkmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497141485 PECOS PAC ID: 2163725607 Enrollment ID: I20210624003540 |
| Provider Name | Cody B Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518463355 PECOS PAC ID: 8729334313 Enrollment ID: I20210727002242 |
| Provider Name | Saurabh Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538573068 PECOS PAC ID: 3678846235 Enrollment ID: I20210802000047 |
| Provider Name | Nathan T Falls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639676745 PECOS PAC ID: 6800142464 Enrollment ID: I20210811000063 |
| Provider Name | Rachana Dandamudi Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295231504 PECOS PAC ID: 5193120319 Enrollment ID: I20210825002754 |
| Provider Name | Muhammad A Goraya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417433822 PECOS PAC ID: 0941550008 Enrollment ID: I20210826002663 |
| Provider Name | Lauren E Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477059459 PECOS PAC ID: 5092062315 Enrollment ID: I20210909000425 |
| Provider Name | Marc O Stanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114488483 PECOS PAC ID: 2860726940 Enrollment ID: I20220607003169 |
| Provider Name | Seth Daniel Justice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780249896 PECOS PAC ID: 6204169733 Enrollment ID: I20220628003571 |
| Provider Name | Anum Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407319908 PECOS PAC ID: 1557604964 Enrollment ID: I20220629001267 |
| Provider Name | Emily A Enderlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821559626 PECOS PAC ID: 1355675497 Enrollment ID: I20220712000970 |
| Provider Name | Raga Deepak Reddy Palagiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831542737 PECOS PAC ID: 4385923465 Enrollment ID: I20220712002021 |
| Provider Name | Mina Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124687157 PECOS PAC ID: 1850779224 Enrollment ID: I20220718002524 |
| Provider Name | Emily A Askew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134680317 PECOS PAC ID: 9830423888 Enrollment ID: I20220719001686 |
| Provider Name | William Todd Wilcox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770046310 PECOS PAC ID: 1052654670 Enrollment ID: I20220811000527 |
| Provider Name | Heath Tyson Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053872176 PECOS PAC ID: 7719212281 Enrollment ID: I20220829003782 |
| Provider Name | Muska Ullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265094213 PECOS PAC ID: 5799012803 Enrollment ID: I20220830004030 |
| Provider Name | Anil Anandam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801101431 PECOS PAC ID: 7719137363 Enrollment ID: I20220926000435 |
| Provider Name | Aakash D Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639630866 PECOS PAC ID: 6103150008 Enrollment ID: I20230103000312 |
| Provider Name | Mujtaba Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679101711 PECOS PAC ID: 2466874664 Enrollment ID: I20230613002377 |
| Provider Name | Jahanzeb Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396208658 PECOS PAC ID: 0941533772 Enrollment ID: I20230717000959 |
| Provider Name | Ahmad Abdulmajid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114556123 PECOS PAC ID: 9436571668 Enrollment ID: I20230725000327 |
| Provider Name | Binish Lone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598394074 PECOS PAC ID: 5092136408 Enrollment ID: I20230727001647 |
| Provider Name | Shahrukh Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548613961 PECOS PAC ID: 4284964479 Enrollment ID: I20231013003245 |
| Provider Name | Malek Alaiwah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770143232 PECOS PAC ID: 1850626904 Enrollment ID: I20240514000589 |
Maumelle Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Pine Forest Dr, Ste 200, Maumelle, AR 72113 Phone: 501-803-9900 | |
Arcare32 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Millwood Cir Ste E, Maumelle, AR 72113 Phone: 501-802-9990 Fax: 501-803-9991 | |
Baptist Health Family Clinic Maumelle Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 Club Manor Dr, Suite 2, Maumelle, AR 72113 Phone: 501-851-7400 Fax: 501-851-4753 | |
Integrative Medical Center Of Arkansas Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Club Manor Dr, Suite D, Maumelle, AR 72113 Phone: 501-773-6318 Fax: 501-687-0489 | |
Achor Management Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Club Manor Dr Ste 101a, Maumelle, AR 72113 Phone: 501-274-1130 Fax: 501-274-1131 | |
Lc Aesthetics & Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Maumelle Valley Dr, Maumelle, AR 72113 Phone: 501-749-4944 | |
Jeff J. Carfagno, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Club Manor, Suite 105, Maumelle, AR 72113 Phone: 501-851-8100 |