GERARDO TAMAYO ENRIQUEZ MD NPI 1659410678

NPI Information

NPI: 1659410678
Provider Name: GERARDO TAMAYO ENRIQUEZ, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Organization: NORTH SHORE-LIJ MEDICAL PC

PECOS Registration: Yes

Address:
4301 W MARKHAM ST # 520-4
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 526-7516
Get Directions

Gerardo Tamayo Enriquez, MD is a transplant surgery in Little Rock, AR with 22 years of experience. The provider is definition to come. Gerardo Tamayo Enriquez, MD NPI is 1659410678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4301 W MARKHAM ST # 520-4
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 526-7516
Fax: (501) 686-5215

The NPI 1659410678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 2/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204F00000X	Transplant Surgery		E-8382	ARKANSAS	Yes
2	207L00000X	Anesthesiology		2012020960	MISSOURI	No
3	208600000X	Surgery		2012020960	MISSOURI	No
4	208600000X	Surgery		2005-0262	NEW MEXICO	No
5	2086S0102X	Surgery	Surgical Critical Care	E-8382	ARKANSAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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