Rayburn F Rego (NPI# 1619922275, PAC ID# 3971568163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1619922275 |
| PAC ID by PECOS | 3971568163 |
| Professional Enrollment ID | I20070828001157 |
| Full Name | Rayburn F Rego |
| Organization Legal Name | ST VINCENT MEDICAL GROUP |
| Address |
417 N University Ave Little Rock AR 72205-3108 |
| Phone Number | 5016660249 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5698758803 |
| Number of Group Practice Members | 123 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040007 | CHI-ST VINCENT INFIRMARY |
| 010149 | BAPTIST MEDICAL CENTER EAST |
| Address | Phone | Organization |
|---|---|---|
| 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 5015524666 | ST VINCENT MEDICAL GROUP |
| 417 N University Ave, Little Rock, AR 72205-3108 | 5016660249 | ST VINCENT MEDICAL GROUP |
| Organization Legal Name | ST VINCENT MEDICAL GROUP |
| Physicians | 116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chen Wang | Family Medicine | St Vincent Medical Group | 4202 S University Ave, Little Rock, AR 72204-7841 |
| Kimberly A Browning | Nurse Practitioner | St Vincent Medical Group | 3025 Fountain Dr, Suite 100, Conway, AR 72034-3690 |
| Teresa M Whitwell | Nurse Practitioner | St Vincent Medical Group | 4000 Richards Rd, Suite B, North Little Rock, AR 72117-2939 |
| Whitney N Reed | Nurse Practitioner | St Vincent Medical Group | St Vincent Medical Clinic- Lonoke, 130 Jf Blvd, Lonoke, AR 72086-9365 |
| Lara Sanders | Nurse Practitioner | St Vincent Medical Group | 7709 Hwy 107, Sherwood, AR 72120-4661 |
| Vyjayanthi Ganga | Internal Medicine | St Vincent Medical Group | 2500 E 6th St, Health Clinic East, Little Rock, AR 72202-3008 |
| Ali Raja | Neurosurgery | St Vincent Medical Group | 6020 Warden Rd, 100 Arkansas Neuroscience Institute, Sherwood, AR 72120-6068 |
| Paul E Valentin-stone | Internal Medicine | St Vincent Medical Group | 1401 Braden St, Jacksonville, AR 72076-3720 |
| Thomas R Braswell | Family Medicine | St Vincent Medical Group | St Vincent Medical Clinic-scott, 15111 Highway 165, Scott, AR 72142 |
| Lori Fawbush | Nurse Practitioner | St Vincent Medical Group | 15033 Hwy 165, Scott, AR 72142-9555 |
| Street Address |
417 N UNIVERSITY AVE |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72205-3108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel K Brown | Gastroenterology | St Vincent Medical Group | 417 N University Ave, Little Rock, AR 72205-3108 |
| Otis T Gordon | Gastroenterology | St Vincent Medical Group | 417 N University Ave, Little Rock, AR 72205-3108 |
| Dennis Dean Kumpuris | Gastroenterology | St Vincent Medical Group | 417 N University Ave, Little Rock, AR 72205-3108 |
| Neelima Rao | Gastroenterology | St Vincent Medical Group | 417 N University Ave, Little Rock, AR 72205-3108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Marie Cossey | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Paula J Sargent | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| David P Dean | General Surgery | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Octavio Herrera-verdugo | Vascular Surgery | 1225 Breckenridge Dr, Suite 110, Little Rock, AR 72205-1565 | |
| Charlotte Chapple | Certified Registered Nurse Anesthetist (crna) | 212 Natural Resources Dr, Little Rock, AR 72205-1573 | |
| William L Rutledge | General Practice | 9712 W Markham St, Little Rock, AR 72205-2124 | |
| Victor B Williams | General Surgery | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| Ralonda Greer | Certified Clinical Nurse Specialist (cns) | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| James A Washburn | Podiatry | 10020 W Markham St, Little Rock, AR 72205-2130 | |
| Stephen L Clark | Psychologist, Clinical | Living Hope Southeast LLC | 10025 W Markham St, Suite 210, Little Rock, AR 72205-2178 |
| Find all physicians in zip 72205 | |||
| City | LITTLE ROCK |
| Zip Code | 72205 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | LITTLE ROCK + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Rayburn F Rego.
| 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.