| Premier Gastroenterology Associates Pllc | |
|
10915 N. Rodney Parham Suite B Little Rock AR 72212 | |
| (501) 747-2828 | |
| Not Available |
| Full Name | Premier Gastroenterology Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10915 N. Rodney Parham, Little Rock, Arkansas |
| Authorized Official Name and Position | Terence Loagan Angtuaco (PRESIDENT) |
| Authorized Official Contact | 5017472828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Gastroenterology Associates Pllc Po Box 26618 Little Rock AR 72221-6601 Ph: (501) 747-2828 | Premier Gastroenterology Associates Pllc 10915 N. Rodney Parham Suite B Little Rock AR 72212 Ph: (501) 747-2828 |
| NPI Number | 1538663729 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 1153685474 |
|---|---|
| Medicare Enrollment ID | O20180514000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538663729 | NPI | - | NPPES |
| 228961002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Charles B Rickett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801994520 PECOS PAC ID: 7911892344 Enrollment ID: I20040216000955 |
| Provider Name | Kevin R Crowder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902894223 PECOS PAC ID: 1557257102 Enrollment ID: I20040223000476 |
| Provider Name | Terence L Angtuaco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497790877 PECOS PAC ID: 8729046305 Enrollment ID: I20041229000463 |
| Provider Name | Steven D Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366438327 PECOS PAC ID: 4284686577 Enrollment ID: I20050302000907 |
| Provider Name | Lisa Longinotti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619965936 PECOS PAC ID: 1557392016 Enrollment ID: I20050824000549 |
| Provider Name | Michael L Lemley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598760365 PECOS PAC ID: 8820012826 Enrollment ID: I20060117001086 |
| Provider Name | Scott A Wofford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437199049 PECOS PAC ID: 7214940717 Enrollment ID: I20060731000285 |
| Provider Name | Tracy L Davenport |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053489344 PECOS PAC ID: 8022110667 Enrollment ID: I20070228000140 |
| Provider Name | Asa Paul Pittman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578699666 PECOS PAC ID: 9830285584 Enrollment ID: I20071011000304 |
| Provider Name | Brent F Hartsfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376737890 PECOS PAC ID: 3072693639 Enrollment ID: I20080108000811 |
| Provider Name | David P Mcelreath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811198070 PECOS PAC ID: 5799713186 Enrollment ID: I20080415000806 |
| Provider Name | Dhaval H Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730398660 PECOS PAC ID: 4880765874 Enrollment ID: I20080619000760 |
| Provider Name | Robert P Svoboda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205850682 PECOS PAC ID: 9638241763 Enrollment ID: I20080708000110 |
| Provider Name | Brian T Hughes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518181775 PECOS PAC ID: 1658446463 Enrollment ID: I20080813000480 |
| Provider Name | Roy S Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083640072 PECOS PAC ID: 0648356485 Enrollment ID: I20081030000528 |
| Provider Name | Joy D Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962635359 PECOS PAC ID: 9436290269 Enrollment ID: I20091230000568 |
| Provider Name | Angelo G Coppola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528003977 PECOS PAC ID: 8426945734 Enrollment ID: I20100415000920 |
| Provider Name | Jim G Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780808196 PECOS PAC ID: 3779771944 Enrollment ID: I20110103000972 |
| Provider Name | Ronald E Daniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396049730 PECOS PAC ID: 0749469567 Enrollment ID: I20110126000531 |
| Provider Name | Lindsay Daniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720382161 PECOS PAC ID: 8325227150 Enrollment ID: I20110126000605 |
| Provider Name | Edward Lane Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285939124 PECOS PAC ID: 8022299973 Enrollment ID: I20110224000748 |
| Provider Name | John A Hooten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114210606 PECOS PAC ID: 7618146770 Enrollment ID: I20110805000128 |
| Provider Name | Kristen C Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942570916 PECOS PAC ID: 0840450078 Enrollment ID: I20120327000222 |
| Provider Name | David E. Carlisle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740548783 PECOS PAC ID: 5890959415 Enrollment ID: I20120612000334 |
| Provider Name | Holly J Jacek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255605267 PECOS PAC ID: 2264696780 Enrollment ID: I20120614000038 |
| Provider Name | Bradley A Pitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679831614 PECOS PAC ID: 7113181231 Enrollment ID: I20120620000797 |
| Provider Name | Jimmy D Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285999029 PECOS PAC ID: 1052569746 Enrollment ID: I20120921000595 |
| Provider Name | Erika M Loveless |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104250281 PECOS PAC ID: 1759511215 Enrollment ID: I20140228000699 |
| Provider Name | Brian L Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497177836 PECOS PAC ID: 7315178134 Enrollment ID: I20140320000782 |
| Provider Name | Heather M Cody |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699035089 PECOS PAC ID: 4284899535 Enrollment ID: I20140620000202 |
| Provider Name | Casey G Polk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477968030 PECOS PAC ID: 7810115425 Enrollment ID: I20140822002276 |
| Provider Name | Angela Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083027304 PECOS PAC ID: 3375761596 Enrollment ID: I20140902000695 |
| Provider Name | Anthony R Sierra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487042651 PECOS PAC ID: 1658695671 Enrollment ID: I20150122002352 |
| Provider Name | Johnny Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235397308 PECOS PAC ID: 1850612771 Enrollment ID: I20150604000246 |
| Provider Name | Caleb A Seiter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306205042 PECOS PAC ID: 7012201155 Enrollment ID: I20160811001965 |
| Provider Name | Brooke E Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598205320 PECOS PAC ID: 7618252032 Enrollment ID: I20170328000862 |
| Provider Name | Patrick R. Flynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225569080 PECOS PAC ID: 7810266871 Enrollment ID: I20170706002023 |
| Provider Name | Lauren E Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972683456 PECOS PAC ID: 8123096419 Enrollment ID: I20180619000290 |
| Provider Name | Landry P Strong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578095873 PECOS PAC ID: 3375812613 Enrollment ID: I20210322000032 |
| Provider Name | Amy Suzanne Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659964153 PECOS PAC ID: 4688082662 Enrollment ID: I20210412000740 |
| Provider Name | Kenneth Wayne Coggins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124415021 PECOS PAC ID: 8426365578 Enrollment ID: I20210630002035 |
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 |