SUSAN EBEL (NPI# 1376525394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376525394 |
| Entity Type | Individual |
| Full Name | SUSAN EBEL |
| Credential | MD |
| Practice Address |
4202 S University Ave Little Rock AR 72204-7841 |
| Practice Telephone | 5015624838 |
| Practice Fax Number | 5015621958 |
| Mailing Telephone | 5015624838 |
| Mailing Fax Number | 5015621958 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | C-6597 | AR | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | C-6597 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | UNITED HEALTH CARE | 120373 | 01 |
| AR | QUALCHOICE | 15320000000 | 01 |
| AR | AR BLUE CROSS BLUE SHIELD | 50834 | 01 |
| Street Address |
4202 S UNIVERSITY AVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-7841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508513 | Vincent Calderon | Pediatrics | 4202 S University Ave, Little Rock, AR 72204-7841 | 2005-06-20 |
| 1518374610 | Kristi Leigh Jones | Nurse Practitioner | 4202 S University Ave, Little Rock, AR 72204-7841 | 2014-07-21 |
| 1699118141 | Eric Nathaniel Joseph | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2013-04-15 |
| 1184985905 | Irina V Esteva | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2012-06-07 |
| 1366676678 | Randy L Hogan | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-05-14 |
| 1902030208 | Kara B Swayne | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-05-14 |
| 1013159698 | Christine Lalande | Nurse Practitioner | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-03-30 |
| 1407026370 | Julia Brooks | Dietitian, Registered | 4202 S University Ave, Little Rock, AR 72204-7841 | 2008-03-07 |
| 1093901506 | Samuel Allen | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2007-09-18 |
| 1780706663 | Shiva Nallur | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907051 | David Crow | Emergency Medicine | 4301 W Makham St., Little Rock, AR 72205 | 2017-04-24 |
| 1811429772 | Meredith Kathleen Von Dohlen | Emergency Medicine | 4301 W Markham St, Slot 584, Little Rock, AR 72205-7199 | 2017-03-30 |
| 1528453727 | Adam Linn Skarda | Emergency Medicine | 4301 West Markham Slot 584, Little Rock, AR 72205-7199 | 2015-04-03 |
| 1558756718 | Heather Mclemore | Emergency Medicine | 4301 West Markham, Slot 584, Little Rock, AR 72205 | 2015-04-03 |
| 1568754497 | Matthew Martin Parker | Emergency Medicine | 4301 W Markham St # 504, Little Rock, AR 72205-7101 | 2011-05-11 |
| 1467615542 | Dennis R Burrow | Emergency Medicine | 311 N Elm St, Little Rock, AR 72205-5543 | 2008-07-08 |
| 1407020753 | Sarah M Greenberger | Emergency Medicine | 4301 W Markham St # 753, Little Rock, AR 72205-7101 | 2008-04-17 |
| 1396939781 | Samuel Heath Nay | Emergency Medicine | 14524 Cantrell Rd, Suite 160, Little Rock, AR 72223-4702 | 2007-08-29 |
| 1437371358 | Shawna Nicholle Wade | Emergency Medicine | 2 Stonebridge Circle #227, Little Rock, AR 72223-4572 | 2007-05-02 |
| 1528283538 | Robin I. Bohra | Emergency Medicine | 1505 N Hughes St, Little Rock, AR 72207-6115 | 2007-04-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.