| Oak Street Health Physicians Group Of Arkansas Pllc | |
|
5500 W 12th St Little Rock AR 72204-1716 | |
| (501) 435-1402 | |
| (501) 232-4210 |
| Full Name | Oak Street Health Physicians Group Of Arkansas Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5500 W 12th St, Little Rock, Arkansas |
| Authorized Official Name and Position | Griffin Myers (CMO) |
| Authorized Official Contact | 3072642085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Street Health Physicians Group Of Arkansas Pllc Po Box 746873 Atlanta GA 30374-6873 Ph: (312) 733-9730 | Oak Street Health Physicians Group Of Arkansas Pllc 5500 W 12th St Little Rock AR 72204-1716 Ph: (501) 435-1402 |
| NPI Number | 1144917758 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 06/30/2023 |
| Medicare PECOS PAC ID | 2264893411 |
|---|---|
| Medicare Enrollment ID | O20230803002485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144917758 | NPI | - | NPPES |
| Provider Name | Justin Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20090623000034 |
| Provider Name | Kristy King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467422766 PECOS PAC ID: 5597721290 Enrollment ID: I20090725000094 |
| Provider Name | John Schumann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144383654 PECOS PAC ID: 3971685157 Enrollment ID: I20230802003083 |
| Provider Name | Samantha Hulse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649856568 PECOS PAC ID: 4082023080 Enrollment ID: I20231010002499 |
| Provider Name | Barbara Tapps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316158900 PECOS PAC ID: 3274694419 Enrollment ID: I20231104000128 |
| Provider Name | Eric Beaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669866737 PECOS PAC ID: 5193074276 Enrollment ID: I20231114002721 |
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