EDWARD E ANGTUACO (NPI# 1679527642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679527642 |
Entity Type | Individual |
Full Name | EDWARD E ANGTUACO |
Credential | M.D. |
Practice Address |
500 S University Ave Ste 101 Little Rock AR 72205 |
Mailing Address |
500 S University Ave Ste 600 Little Rock AR 72205-5324 |
Practice Telephone | 5016643914 |
Practice Fax Number | 5016645246 |
Mailing Telephone | 5016643914 |
Mailing Fax Number | 5016645246 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2018-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
E-0419 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 127862001 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
9601 Lile Drive - Suite 1100, Little Rock, AR 722056333 | 5012275256 | 5012279151 |
Street Address |
500 S UNIVERSITY AVE STE 101 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649690777 | Shyann Renfroe | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205-5314 | 2014-04-16 |
1770922882 | Zachary A. Lambertsen | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205-5314 | 2013-06-21 |
1043653512 | Miles Louis Ritter | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205-5314 | 2013-04-15 |
1821431677 | Robert Gaines Fricke | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205-5314 | 2013-04-11 |
1942643150 | Micah Ryan Fritsche | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205-5314 | 2013-04-08 |
1447512868 | Adam L. Sipe | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205 | 2012-06-12 |
1710143565 | Laxmi Narasimha Abhishek Thummalakunta | Internal Medicine | 500 S University Ave Ste 101, Little Rock, AR 72205-5314 | 2008-07-31 |
1801069331 | Michael Gregory Kendrick | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205-5314 | 2008-04-04 |
1629254305 | Paolo P. Lim | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205 | 2008-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
Find all providers in zip 72205 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215028188 | William Combs Culp | Radiology | 4301 W Markham # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
1194779991 | Charles T Burke | Radiology | 9601 Lile Drive, Suite 1100, Little Rock, AR 72205-6333 | 2006-05-19 |
1629617857 | Sarah Michelle Lindsey | Radiology | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-01-06 |
1225370810 | Erin E Priddy | Radiology | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2013-03-21 |
1891051611 | Edgar St. Amour | Radiology | 8901 Carti Way, Little Rock, AR 72205-6523 | 2012-04-05 |
1174816235 | Joseph Steven Konrad | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2011-05-24 |
1548552037 | William Joseph Meek | Radiology | 4301 W Markham St, Little Rock, AR 72205-7101 | 2011-05-03 |
1265759864 | Megan Chang | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2010-04-23 |
1265757918 | David Sharpe Heister | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2010-04-06 |
1770808735 | Craig Steeds | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2010-04-02 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72205 |
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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.