Edward J Vanderburg (NPI# 1376568204, PAC ID# 6406853753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376568204 |
| PAC ID by PECOS | 6406853753 |
| Professional Enrollment ID | I20061028000042 |
| Full Name | Edward J Vanderburg |
| Organization Legal Name | ARKANSAS HEALTH GROUP |
| Address |
6015 Chenonceau Blvd Suite 140 Little Rock AR 72223-4583 |
| Phone Number | 5018688410 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911802079 |
| Number of Group Practice Members | 415 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 6015 Chenonceau Blvd, Suite 140, Little Rock, AR 72223-4583 | 5018688410 | ARKANSAS HEALTH GROUP |
| Organization Legal Name | ARKANSAS HEALTH GROUP |
| Physicians | 388 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Zachary Ottis | Family Medicine | Arkansas Health Group | 3201 Springhill Drive, 300 Baptist Health Family Medicine Residency Clinic No, North Little Rock, AR 72117-2909 |
| David G Jaskey | Obstetrics/gynecology | Arkansas Health Group | 2915 Cypress Rd, Suite D, Arkadelphia, AR 71923-4243 |
| Kanishk Agnihotri | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 200, Maumelle, AR 72113-7400 |
| Chelsea J Bounds | Nurse Practitioner | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| Rainie R Jones | Nurse Practitioner | Arkansas Health Group | 518 N Fourch Ave, Perryville, AR 72126-9701 |
| Dustin K Hoover | Family Medicine | Arkansas Health Group | 205 Westport Dr, 1 Baptist Health Family Clinic Cabot, Cabot, AR 72023-3657 |
| Michael P Carson | Family Medicine | Arkansas Health Group | 605 United Dr, Conway, AR 72032-7826 |
| David R Sosnoff | Gastroenterology | Arkansas Health Group | 1555 Exchange Ave, Bh Interventional Pulmonology and C, Conway, AR 72032-7824 |
| Benjamin W Mizell | Certified Registered Nurse Anesthetist (crna) | Arkansas Health Group | 2319 Hwy 110 W, Heber Springs, AR 72543-3442 |
| Chelsea E Griffith | Nurse Practitioner | Arkansas Health Group | 4411 Hwy 5 N, Bryant, AR 72022-7005 |
| Street Address |
6015 CHENONCEAU BLVD SUITE 140 |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72223-4583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly K Reynolds | Obstetrics/gynecology | West Little Rock Womens Center Pa | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1709 |
| Julia M Watkins | Obstetrics/gynecology | West Little Rock Womens Center Pa | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1709 |
| Chad Dawson | Chiropractic | Natural State Health Center, LLC | 12911 Cantrell Rd, Suite 4, Little Rock, AR 72223-1710 |
| Traci A Kiernan | Chiropractic | Natural State Health Center, LLC | 12911 Cantrell Rd, Suite 4, Little Rock, AR 72223-1710 |
| Celina Cecile Watson | Optometry | 12400 Cantrell Rd, Suite 4, Little Rock, AR 72223-1728 | |
| Terri Martin | Dermatology | Arkansas Family Care Network | 16115 St Vincent Way, 300 Pinnacle Dermatology, Little Rock, AR 72223-3000 |
| Sarah Elizabeth Hays | Chiropractic | 14300 W Cantrell Rd, Suite 10, Little Rock, AR 72223-4216 | |
| Stacy L Graham | Nurse Practitioner | Benny J Green Md Pa | 14309 Cantrell Rd, Suite 7, Little Rock, AR 72223-4230 |
| Benny J Green | Family Medicine | Benny J Green Md Pa | 14309 Cantrell Rd, Suite 7, Little Rock, AR 72223-4230 |
| Kelley J Glenn | Physical Therapy | Physical Therapy Advantage LLC | 6 Seven Acres Dr, Suite A, Little Rock, AR 72223-4533 |
| Find all physicians in zip 72223 | |||
| City | LITTLE ROCK |
| Zip Code | 72223 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LITTLE ROCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Edward J Vanderburg.
| 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.