| Sheridan East End | |
|
5205 W Sawmill Rd Little Rock AR 72206-9063 | |
| (870) 942-3000 | |
| Not Available |
| Full Name | Sheridan East End |
|---|---|
| Speciality | Clinic/Center |
| Location | 5205 W Sawmill Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan East End Po Box 509 Dermott AR 71638-0509 Ph: (870) 538-5414 | Sheridan East End 5205 W Sawmill Rd Little Rock AR 72206-9063 Ph: (870) 942-3000 |
| NPI Number | 1578283693 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20230426002603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578283693 | NPI | - | NPPES |
| 301057749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lane Eye Care Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Rd, Little Rock, AR 72212 Phone: 501-225-4648 Fax: 501-225-8628 | |
Primary Care Of Arkansas Chrystal Johnson Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 S University Ave, Suite 515, Little Rock, AR 72205 Phone: 501-666-6100 Fax: 501-666-6107 | |
Perry Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11321 I-30 Ste 304, Little Rock, AR 72209 Phone: 501-455-9500 Fax: 501-455-9505 | |
Apex Men's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Road, Ste C-10a, Little Rock, AR 72212 Phone: 501-246-7274 Fax: 501-421-4161 | |
Evgueni Roudachevski, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11912 Kanis Rd, Suite F2, Little Rock, AR 72211 Phone: 501-227-8020 Fax: 501-227-8826 | |
Specialty Care Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 W Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-4300 Fax: 501-821-4300 | |
Benny J Green Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14309 Cantrell Rd, Ste 7, Little Rock, AR 72223 Phone: 501-224-6727 Fax: 501-224-0674 |