Medexpress Primary Care - Chenal Parkway Primary Care | |
12300 Chenal Pkwy Little Rock AR 72211-2724 | |
(501) 221-8661 | |
(501) 221-6724 |
Full Name | Medexpress Primary Care - Chenal Parkway Primary Care |
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Speciality | Family Medicine |
Location | 12300 Chenal Pkwy, Little Rock, Arkansas |
Authorized Official Name and Position | Joy Kimball (CONTRACT MANAGER) |
Authorized Official Contact | 7633496740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medexpress Primary Care - Chenal Parkway Primary Care 423 Fortress Blvd Morgantown WV 26508-1351 Ph: (304) 225-2500 | Medexpress Primary Care - Chenal Parkway Primary Care 12300 Chenal Pkwy Little Rock AR 72211-2724 Ph: (501) 221-8661 |
NPI Number | 1700426426 |
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Provider Enumeration Date | 01/10/2020 |
Last Update Date | 05/07/2024 |
Medicare PECOS PAC ID | 6103247770 |
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Medicare Enrollment ID | O20200608000482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700426426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Remel D Buslig |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548291420 PECOS PAC ID: 0244256881 Enrollment ID: I20051021000782 |
Provider Name | Ryan A Hueter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194967414 PECOS PAC ID: 1557510427 Enrollment ID: I20121009000670 |
Provider Name | Lynnette Morrison |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922361740 PECOS PAC ID: 1052633591 Enrollment ID: I20151007001171 |
Provider Name | Rhonda K Parks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124011754 PECOS PAC ID: 7214943604 Enrollment ID: I20151112002358 |
Provider Name | Justin Taylor Dubois |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235652611 PECOS PAC ID: 1759649270 Enrollment ID: I20171211001162 |
Provider Name | Julie Keefer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124508908 PECOS PAC ID: 6406107028 Enrollment ID: I20180920002620 |
Provider Name | Jenna L Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740728104 PECOS PAC ID: 1850677147 Enrollment ID: I20191001001630 |
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