John Russell Burks (NPI# 1477931863, PAC ID# 6103107404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1477931863 |
| PAC ID by PECOS | 6103107404 |
| Professional Enrollment ID | I20190606000563 |
| Full Name | John Russell Burks |
| Organization Legal Name | LITTLE ROCK EYE CLINIC LLP |
| Address |
4200 N Rodney Parham Rd 101 Little Rock Eye Clinic West Little Rock AR 72212-2458 |
| Phone Number | 5012245658 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3476535121 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040036 | BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 | 5012245658 | LITTLE ROCK EYE CLINIC LLP |
| Organization Legal Name | LITTLE ROCK EYE CLINIC LLP |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Grant Morshedi | Ophthalmology | Little Rock Eye Clinic LLP | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 |
| Michael Roberson | Ophthalmology | Little Rock Eye Clinic LLP | 201 Executive Court, Little Rock, AR 72205-4536 |
| Lydia Faye Lane | Ophthalmology | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Christian Cardell Hester | Ophthalmology | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Tiffany V Brown | Optometry | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Daniel James Hennessey | Optometry | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Severin Marcel Pouly | Ophthalmology | Little Rock Eye Clinic LLP | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 |
| Laurie D Barber | Ophthalmology | Little Rock Eye Clinic LLP | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 |
| Richard Y Henry | Ophthalmology | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Monica Charmein Hall | Ophthalmology | Little Rock Eye Clinic LLP | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 |
| Street Address |
4200 N RODNEY PARHAM RD 101 LITTLE ROCK EYE CLINIC WEST |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72212-2458 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lydia Faye Lane | Ophthalmology | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Christian Cardell Hester | Ophthalmology | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Jacey Guthrie | Dermatology | Arkansas Family Care Network | 4200 N Rodney Parham Rd, Suite 202, Little Rock, AR 72212-2460 |
| David J Kiessling | Podiatry | Foot and Ankle Associates of Central Arkansas Pllc | 4200 N Rodney Parham Rd, Suite 100, Little Rock, AR 72212-2458 |
| Kyle K Kifer | Chiropractic | Arkansas Family Care Network | 4200 N Rodney Parham Rd, Suite 102, Little Rock, AR 72212-2458 |
| Calvin Britton | Podiatry | Foot and Ankle Associates of Central Arkansas Pllc | 4200 N Rodney Parham Rd, Suite 100, Little Rock, AR 72212-2458 |
| Tiffany V Brown | Optometry | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Richard A Dellinger | Podiatry | Foot and Ankle Associates of Central Arkansas Pllc | 4200 N Rodney Parham Rd, Suite 100, Little Rock, AR 72212-2458 |
| Jame B Pierce | Podiatry | Foot and Ankle Associates of Central Arkansas Pllc | 4200 N Rodney Parham Rd, Suite 100, Little Rock, AR 72212-2458 |
| Daniel James Hennessey | Optometry | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ernest S Woodard Iii | Oral Surgery | 11300 Cantrell Rd, Suite 303, Little Rock, AR 72212-1844 | |
| James Scott Stanley | Psychiatry | 2 Golden Oak Cv, Little Rock, AR 72212-2132 | |
| Michael W Enns | Diagnostic Radiology | 4220 N Rodney Parham Rd, Suite 230, Little Rock, Ar, AR 72212-2457 | |
| Alexandra N Buk | Podiatry | Foot and Ankle Associates of Central Arkansas Pllc | 4200 N Rodney Parham Rd, Suite 100, Little Rock, AR 72212-2458 |
| Richard Y Henry | Ophthalmology | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Andrew Freeman Perin | Ophthalmology | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Susan D Blair | Ophthalmology | Little Rock Eye Clinic LLP | 4200 N Rodney Parham Rd, 101 Little Rock Eye Clinic West, Little Rock, AR 72212-2458 |
| Teresa L Sharps | Physical Therapy | Arkansas Family Care Network | 4200 N Rodney Parham Rd, Little Rock, AR 72212-2458 |
| Gunnar Heidman Gibson | Dermatology | Arkansas Family Care Network | 4200 N Rodney Parham Rd, Suite 202, Little Rock, AR 72212-2460 |
| Sunney C Murphy | Certified Registered Nurse Anesthetist (crna) | Gastro Anesthesia Pllc | 4200 N Rodney Parham Rd, 203 Endoscopy Center of Little Rock, Little Rock, AR 72212-2460 |
| Find all physicians in zip 72212 | |||
| City | LITTLE ROCK |
| Zip Code | 72212 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LITTLE ROCK + OPHTHALMOLOGY |
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| 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.