Elicia S Kennedy (NPI# 1346359478, PAC ID# 8820124589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1346359478 |
| PAC ID by PECOS | 8820124589 |
| Professional Enrollment ID | I20100405000208 |
| Full Name | Elicia S Kennedy |
| Organization Legal Name | BAPTIST MEDCARE INC |
| Address |
9601 Baptist Health Dr Little Rock AR 72205-6321 |
| Phone Number | 5012022300 |
| Gender | F |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5698667624 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 5012022300 | BAPTIST MEDCARE INC |
| Organization Legal Name | BAPTIST MEDCARE INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary G Roe | Emergency Medicine | Baptist Medcare Inc | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Shane A Melton | Emergency Medicine | Baptist Medcare Inc | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Claude W Lyle | Emergency Medicine | Baptist Medcare Inc | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Nicholas B Brucker | Emergency Medicine | Baptist Medcare Inc | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Robert Marc Wycoff | Emergency Medicine | Baptist Medcare Inc | 1555 Exchange Ave, Little Rock Emerg, Conway, AR 72032-7824 |
| Lena J Rose | Emergency Medicine | Baptist Medcare Inc | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Jordan H White | Emergency Medicine | Baptist Medcare Inc | 1555 Exchange Ave, Little Rock Emerg, Conway, AR 72032-7824 |
| Angelique Fontenette | Emergency Medicine | Baptist Medcare Inc | 1555 Exchange Ave, Little Rock Emerg, Conway, AR 72032-7824 |
| Ethan M Mccullar | Emergency Medicine | Baptist Medcare Inc | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Heather H Mclemore | Emergency Medicine | Baptist Medcare Inc | 1555 Exchange Ave, Little Rock Emerg, Conway, AR 72032-7824 |
| Street Address |
9601 BAPTIST HEALTH DR |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72205-6321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin J Brazil | Certified Registered Nurse Anesthetist (crna) | Arkansas Health Group | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Robert W Conner | Certified Registered Nurse Anesthetist (crna) | Arkansas Health Group | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Gary E Allen | Interventional Radiology | Radiology Consultants of Little Rock, Pa | 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205-6333 |
| Shawn L Carrell | Nurse Practitioner | Arkansas Health Group | 9601 Baptist Health Dr, Suite 1 B, Little Rock, AR 72205-6321 |
| Nancy L Clawitter | Certified Registered Nurse Anesthetist (crna) | Arkansas Health Group | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Marcy N King | Certified Registered Nurse Anesthetist (crna) | Arkansas Health Group | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Richard A Owings | Psychiatry | Psychiatric Associates of Arkansas Pllc | 9601 Baptist Health Dr, Suite 1050, Little Rock, AR 72205-6379 |
| Laura S Moore | Anesthesiology | Arkansas Health Group | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Kelly D Mitchell | Certified Registered Nurse Anesthetist (crna) | Arkansas Health Group | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Joshua C Chance | Anesthesiology | Arkansas Health Group | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Marie Cossey | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Paula J Sargent | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| David P Dean | General Surgery | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Octavio Herrera-verdugo | Vascular Surgery | 1225 Breckenridge Dr, Suite 110, Little Rock, AR 72205-1565 | |
| Charlotte Chapple | Certified Registered Nurse Anesthetist (crna) | 212 Natural Resources Dr, Little Rock, AR 72205-1573 | |
| William L Rutledge | General Practice | 9712 W Markham St, Little Rock, AR 72205-2124 | |
| Victor B Williams | General Surgery | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| Ralonda Greer | Certified Clinical Nurse Specialist (cns) | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| James A Washburn | Podiatry | 10020 W Markham St, Little Rock, AR 72205-2130 | |
| Stephen L Clark | Psychologist, Clinical | Living Hope Southeast LLC | 10025 W Markham St, Suite 210, Little Rock, AR 72205-2178 |
| Find all physicians in zip 72205 | |||
| City | LITTLE ROCK |
| Zip Code | 72205 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LITTLE ROCK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Elicia S Kennedy.
| 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.