Landmark Medical Of Arkansas Pa | |
425 W Capitol Ave Ste 425 Little Rock AR 72201-3424 | |
(501) 209-8671 | |
Not Available |
Full Name | Landmark Medical Of Arkansas Pa |
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Speciality | General Practice |
Location | 425 W Capitol Ave Ste 425, Little Rock, Arkansas |
Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 6574005180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Landmark Medical Of Arkansas Pa 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: (657) 400-5180 | Landmark Medical Of Arkansas Pa 425 W Capitol Ave Ste 425 Little Rock AR 72201-3424 Ph: (501) 209-8671 |
NPI Number | 1790382059 |
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Provider Enumeration Date | 10/08/2020 |
Last Update Date | 01/30/2024 |
Medicare PECOS PAC ID | 6103239413 |
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Medicare Enrollment ID | O20210106000050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790382059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Katherine D Barton |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124098041 PECOS PAC ID: 7315040177 Enrollment ID: I20081125000362 |
Provider Name | Danielle Nicole Shaw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124584966 PECOS PAC ID: 2860721396 Enrollment ID: I20190910000041 |
Provider Name | April L Vest |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679180343 PECOS PAC ID: 5698186047 Enrollment ID: I20201116003206 |
Provider Name | Dianna Lynn Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407440217 PECOS PAC ID: 8820480049 Enrollment ID: I20230518001712 |
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