Izoumroud O Soultanova (NPI# 1265626790, PAC ID# 2860524022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265626790 |
| PAC ID by PECOS | 2860524022 |
| Professional Enrollment ID | I20100723000309 |
| Full Name | Izoumroud O Soultanova |
| Address |
23101 Chenal Valley Dr Little Rock AR 72223-4945 |
| Phone Number | 5014829200 |
| Gender | F |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 23101 Chenal Valley Dr, Little Rock, AR 72223-4945 | 5014829200 | |
| 21 Bridgeway Rd, N Little Rock, AR 72113-9514 | 5017711500 | THE BRIDGEWAY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 100% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 100% | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_282_overall | Dementia: Functional Status Assessment | 98% | |
| MIPS_EC_282_overall | Dementia: Functional Status Assessment | 98% | |
| MIPS_EC_283_overall | Dementia: Neuropsychiatric Symptom Assessment | 98% | |
| MIPS_EC_283_overall | Dementia: Neuropsychiatric Symptom Assessment | 98% | |
| MIPS_EC_284_overall | Dementia: Management of Neuropsychiatric Symptoms | 100% | |
| MIPS_EC_284_overall | Dementia: Management of Neuropsychiatric Symptoms | 100% |
| Street Address |
23101 CHENAL VALLEY DR |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72223-4945 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly K Reynolds | Obstetrics/gynecology | West Little Rock Womens Center Pa | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1709 |
| Julia M Watkins | Obstetrics/gynecology | West Little Rock Womens Center Pa | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1709 |
| Chad Dawson | Chiropractic | Natural State Health Center, LLC | 12911 Cantrell Rd, Suite 4, Little Rock, AR 72223-1710 |
| Traci A Kiernan | Chiropractic | Natural State Health Center, LLC | 12911 Cantrell Rd, Suite 4, Little Rock, AR 72223-1710 |
| Celina Cecile Watson | Optometry | 12400 Cantrell Rd, Suite 4, Little Rock, AR 72223-1728 | |
| Terri Martin | Dermatology | Arkansas Family Care Network | 16115 St Vincent Way, 300 Pinnacle Dermatology, Little Rock, AR 72223-3000 |
| Sarah Elizabeth Hays | Chiropractic | 14300 W Cantrell Rd, Suite 10, Little Rock, AR 72223-4216 | |
| Stacy L Graham | Nurse Practitioner | Benny J Green Md Pa | 14309 Cantrell Rd, Suite 7, Little Rock, AR 72223-4230 |
| Benny J Green | Family Medicine | Benny J Green Md Pa | 14309 Cantrell Rd, Suite 7, Little Rock, AR 72223-4230 |
| Kelley J Glenn | Physical Therapy | Physical Therapy Advantage LLC | 6 Seven Acres Dr, Suite A, Little Rock, AR 72223-4533 |
| Find all physicians in zip 72223 | |||
| City | LITTLE ROCK |
| Zip Code | 72223 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LITTLE ROCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Izoumroud O Soultanova.
| 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.