Philip A Childers (NPI# 1205347390, PAC ID# 0547528580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1205347390 |
| PAC ID by PECOS | 0547528580 |
| Professional Enrollment ID | I20171220000806 |
| Full Name | Philip A Childers |
| Organization Legal Name | ARKANSAS UROLOGY, P.A. |
| Address |
1300 Centerview Dr Little Rock AR 72211-4349 |
| Phone Number | 5012198900 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082502547 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040088 | MEDICAL CENTER OF SOUTH ARKANSAS |
| 040050 | OUACHITA COUNTY MEDICAL CENTER |
| 041323 | ASHLEY COUNTY MEDICAL CENTER |
| 040067 | MAGNOLIA HOSPITAL |
| 040036 | BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 1300 Centerview Dr, Little Rock, AR 72211-4349 | 5012198900 | ARKANSAS UROLOGY, P.A. |
| Organization Legal Name | ARKANSAS UROLOGY, P.A. |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Morgan | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Jeffrey R Thomas | Physician Assistant | Arkansas Urology, P.a. | 4200 Stockton Dr, North Little Rock, AR 72117-2915 |
| Bryan Matthew Cearley | Physician Assistant | Arkansas Urology, P.a. | 4200 Stockton Dr, North Little Rock, AR 72117-2915 |
| Samy Mamdouh Mohamed Heshmat | Urology | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Danielle Nicole Shaw | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Adam J Cole | Pathology | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Allison Elizabeth Morrow | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Toronsa M Simpson | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Diana K Braziel | Physician Assistant | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Mary Christine Dumboski | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Street Address |
1300 CENTERVIEW DR |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72211-4349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Morgan | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Samy Mamdouh Mohamed Heshmat | Urology | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Danielle Nicole Shaw | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Adam J Cole | Pathology | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Allison Elizabeth Morrow | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Toronsa M Simpson | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Diana K Braziel | Physician Assistant | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Mary Christine Dumboski | Nurse Practitioner | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Donald K. Mooney | Urology | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Edwin A Diaz | Urology | Arkansas Urology, P.a. | 1300 Centerview Dr, Little Rock, AR 72211-4349 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Hart | Interventional Pain Management | 1508 Macon Dr, Suite C6, Little Rock, AR 72211-1663 | |
| Avram J Zolten | Psychologist, Clinical | Comprehensive Neuropsychological Services Inc, 8 Shackleford Plaza Suite 201, Little Rock, AR 72211-1826 | |
| James B Nowlin | Anesthesiology | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Jasmine L Black | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| John T Cheairs | Anesthesiology | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Emily F Eisenach | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Lesley L Guthrie | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Jaanna L Taylor | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Zada V Adametz | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Ronald E Daniel Jr. | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Find all physicians in zip 72211 | |||
| City | LITTLE ROCK |
| Zip Code | 72211 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LITTLE ROCK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Philip A Childers.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.