Individual
DR. ETHAN J SCHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 663-3647
(501) 666-9653
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 663-3647
(501) 666-9653
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-2961
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145157001
—
AR
01
—
5L876C207
MEDICARE PTAN
AR
Enumeration date
01/06/2006
Last updated
07/06/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us