St Vincent Physician Clinics Llc | |
2 Saint Vincent Cir Little Rock AR 72205-5423 | |
(501) 552-3000 | |
Not Available |
Full Name | St Vincent Physician Clinics Llc |
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Speciality | Family Medicine |
Location | 2 Saint Vincent Cir, Little Rock, Arkansas |
Authorized Official Name and Position | Jaime Dennis (DIRECTOR-REVENUE CYCLE) |
Authorized Official Contact | 5015523999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Vincent Physician Clinics Llc 2 Saint Vincent Cir Little Rock AR 72205-5423 Ph: (501) 552-3000 | St Vincent Physician Clinics Llc 2 Saint Vincent Cir Little Rock AR 72205-5423 Ph: (501) 552-3000 |
NPI Number | 1134558398 |
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Provider Enumeration Date | 11/07/2013 |
Last Update Date | 11/07/2013 |
Medicare PECOS PAC ID | 5395975379 |
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Medicare Enrollment ID | O20140313001812 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134558398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Rhodora Raghavan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467418749 PECOS PAC ID: 8820086754 Enrollment ID: I20040430001279 |
Provider Name | Sanjay R Dass |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1265497242 PECOS PAC ID: 2163450560 Enrollment ID: I20050727000840 |
Provider Name | Srinivasan Ramaswamy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942247317 PECOS PAC ID: 4587677265 Enrollment ID: I20060725000192 |
Provider Name | Camille Braswell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437208030 PECOS PAC ID: 8426154881 Enrollment ID: I20070501000226 |
Provider Name | Nosheen Mian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376631689 PECOS PAC ID: 1951407816 Enrollment ID: I20070509000603 |
Provider Name | Gilbert C Foster |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649262726 PECOS PAC ID: 9335245133 Enrollment ID: I20070510000168 |
Provider Name | Shiva Nallur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780706663 PECOS PAC ID: 7618043704 Enrollment ID: I20080915000374 |
Provider Name | Michael R Ford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871502658 PECOS PAC ID: 5991885485 Enrollment ID: I20100722000492 |
Provider Name | Sridhar Madgula |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083808067 PECOS PAC ID: 4688708456 Enrollment ID: I20100816000419 |
Provider Name | Steve Simpson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730172958 PECOS PAC ID: 7618157009 Enrollment ID: I20110201000795 |
Provider Name | James E Wilkerson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083934632 PECOS PAC ID: 9537318969 Enrollment ID: I20120928000633 |
Provider Name | Robyn L Wilkerson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891015442 PECOS PAC ID: 0042460537 Enrollment ID: I20121018000111 |
Provider Name | Cesalie D Wallace |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407104052 PECOS PAC ID: 5496986465 Enrollment ID: I20140317000980 |
Provider Name | Shreelekha Nallur |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427331560 PECOS PAC ID: 8527286863 Enrollment ID: I20140827002006 |
Provider Name | Leanne Careen Glidewell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073852877 PECOS PAC ID: 7911127329 Enrollment ID: I20141007002529 |
Provider Name | Mark G Viegas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841589017 PECOS PAC ID: 4385968130 Enrollment ID: I20150504002041 |
Provider Name | Katia Rayburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740870583 PECOS PAC ID: 8123412699 Enrollment ID: I20220225001827 |
Provider Name | Natalie Cobb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174160089 PECOS PAC ID: 2264534460 Enrollment ID: I20220420002264 |
Provider Name | Kalyan Kancherla |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356909311 PECOS PAC ID: 0244565471 Enrollment ID: I20220815000201 |
Provider Name | Monica Kothari |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548899636 PECOS PAC ID: 3476976341 Enrollment ID: I20230727001801 |
Provider Name | Meagan Cates Ripley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457130239 PECOS PAC ID: 4385090505 Enrollment ID: I20231025000041 |
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