| National Park Gi Services Llc | |
|
124 Sawtooth Oak St Hot Springs AR 71901-7160 | |
| (501) 623-7800 | |
| (501) 623-7866 |
| Full Name | National Park Gi Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 124 Sawtooth Oak St, Hot Springs, Arkansas |
| Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| National Park Gi Services Llc 124 Sawtooth Oak St Hot Springs AR 71901-7160 Ph: (501) 623-7800 | National Park Gi Services Llc 124 Sawtooth Oak St Hot Springs AR 71901-7160 Ph: (501) 623-7800 |
| NPI Number | 1215398706 |
|---|---|
| Provider Enumeration Date | 03/11/2016 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 7618267535 |
|---|---|
| Medicare Enrollment ID | O20160606002273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215398706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Robert E Breving |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003887217 PECOS PAC ID: 4981679735 Enrollment ID: I20040826000736 |
| Provider Name | Terri T Blackstock |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881696433 PECOS PAC ID: 1850306143 Enrollment ID: I20060207000985 |
| Provider Name | Barry M Garner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306832811 PECOS PAC ID: 1658404702 Enrollment ID: I20100803000659 |
| Provider Name | Rodrigo Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053466276 PECOS PAC ID: 2769667310 Enrollment ID: I20110426000652 |
| Provider Name | Thusha N Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295718211 PECOS PAC ID: 0547221939 Enrollment ID: I20120515000159 |
| Provider Name | Sherrie M Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811230691 PECOS PAC ID: 0941449417 Enrollment ID: I20130612000557 |
| Provider Name | Kirsten Kaye Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215331996 PECOS PAC ID: 5799009288 Enrollment ID: I20150109000430 |
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