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GARY M PETRUS MD PA
NPI 1871666446
Surgery - Plastic and Reconstructive Surgery in North Little Rock, AR

Active since November 15, 2006
2504 MCCAIN BLVD, SUITE 114, NORTH LITTLE ROCK, AR 72116(501) 758-9800(501) 758-0199 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary M Petrus Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY M PETRUS MD PA (NPI 1871666446) is a healthcare organization registered as a plastic and reconstructive surgery in North Little Rock, Arkansas and active in the NPI registry since November 2006. The organization lists Gary Michael Petrus, President, as its authorized official.

NPPES Registry Identity

NPI1871666446
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameGARY M PETRUS MD PA
Location Address2504 MCCAIN BLVD, SUITE 114North Little Rock, AR 72116-7624
Mailing Address2504 Mccain Blvd, Suite 114North Little Rock, AR 72116-7624 · (501) 758-9800 · Fax (501) 758-0199
Phone(501) 758-9800
Fax(501) 758-0199
Organization SubpartNo
Authorized OfficialGary Michael PetrusPresident · (501) 758-9800
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 28, 2011
✔ NPI 1871666446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in AR · C7318
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2504 MCCAIN BLVD, North Little Rock, AR 72116
Open in Google Maps ↗

Other Identifiers 5

Medicaid114482001AR
Medicare UPIND04406
Medicaid122380002AR
Medicare ID-Type Unspecified50767Individual
Medicare ID-Type Unspecified5C035Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL L. FOX D.D.S.
Dentist (General Practice)
2504 MCCAIN BLVD, SUITE 200
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 753-9781
ALAINA POFF OT
Occupational Therapist
2504 MCCAIN BLVD, SUITE 230
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 758-5555
JP WORNOCK, MD, PA
Clinic/Center
2504 MCCAIN BLVD, STE 118
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 812-6655
ARKANSAS PAIN CENTER PHYSICAL THERAPY
Physical Therapist
2504 MCCAIN BLVD
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 771-2799
ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.
Allergy & Immunology
2504 MCCAIN BLVD, SUITE 118
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 758-9696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary M Petrus MD PA's NPI number?

The NPI number for Gary M Petrus MD PA is 1871666446. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Gary M Petrus MD PA located?

Gary M Petrus MD PA is located at 2504 Mccain Blvd Suite 114, North Little Rock, AR 72116. The listed phone number is (501) 758-9800.

What is Gary M Petrus MD PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

What insurance does Gary M Petrus MD PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Gary M Petrus MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary M Petrus MD PA was last updated on January 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.