EDWARD E ANGTUACO


Address: 500 S University Ave Ste 101, Little Rock, AR 72205
Phone: 5016643914

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
E-0419 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 127862001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
9601 Lile Drive - Suite 1100, Little Rock, AR 722056333 5012275256 5012279151

Office Location

Street Address 500 S UNIVERSITY AVE STE 101
City LITTLE ROCK
State AR
Zip Code 72205

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
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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
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

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.

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