Arkansas Liver and Gastroenterology PA
A Medicare group practice based in Fort Smith, AR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1557672409), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1557672409
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AR
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20150618000749 | AR | Part B Supplier - Clinic/Group Practice | 1932586260 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Arkansas Liver and Gastroenterology PA
- Clinic/Center
- Fort Smith, AR
- NPI 1932586260
-
Arkansas Liver and Gastroenterology PA
- Gastroenterology Physician
- Fort Smith, AR
- NPI 1588519680
Practice locations
- Fort Smith, AR2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (3).
-
Amanda Blake Davis, APRN
- Family Nurse Practitioner
- Fort Smith, AR
- NPI 1790220143
-
George M Dunn, CRNA
- Certified Registered Nurse Anesthetist
- Batesville, AR
- NPI 1932375482
-
Ihab Herraka, M.D.
- Gastroenterology Physician
- Spring Hill, FL
- NPI 1174610018
-
Mohamad Imam, MD
- Gastroenterology Physician
- Birmingham, AL
- NPI 1447696406
-
Bryant Nicholas Monteith, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1871934521
-
Daniel Don Padgett, CRNA
- Certified Registered Nurse Anesthetist
- Augusta, GA
- NPI 1023283223
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.