Provider Demographics
NPI:1255432878
Name:ARCOS, GEORGE JOHN (DO)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:JOHN
Last Name:ARCOS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 W MARKHAM ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3328
Mailing Address - Country:US
Mailing Address - Phone:501-227-0184
Mailing Address - Fax:501-227-0187
Practice Address - Street 1:1506 DAVE WARD DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-6967
Practice Address - Country:US
Practice Address - Phone:501-227-0184
Practice Address - Fax:501-227-0187
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-18904207LP2900X
ARAR207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80033OtherBLUECROSS BLUESHEILD
FL383677550OtherCAPITAL HEALTH PLAN
FL80033AMedicare ID - Type Unspecified
FLD27290Medicare UPIN