REQUEST AN APPOINTMENT CONTACT INFO ARKANSAS SURGICAL HOSPITAL 5201 Northshore Drive North Little Rock, AR 72118 MAIN LINE: 501.748.8000 TOLL FREE: 800.901.0307 PATIENT ROOMS: 501.748.8000 APPOINTMENT FORM Name First Last Your Birthdate* MM slash DD slash YYYY Phone No*Your Email* Insurance Carrier* Preferred Date* MM slash DD slash YYYY Preferred Doctor*Preferred Doctor *Jesse Abeler, D.O.Dana Abraham, M.D., FACSJames Adametz, M.D.Samuel Baxter, M.D.Eugene Becker, M.D.Scott Bowen, M.D.Jesse Burks, D.P.M.Paul K. Edwards, M.D.Tom Hart, M.D.William Hefley Jr., M.D.Robert Ingraham, M.D.Jerry Lorio, M.D.Kenneth Martin, M.D.Zachary Mason, M.D.Samuel A. Moore, D.O.Larry Nguyen, M.D.Ali I. Raja, M.D.David Rhodes, M.D.Clay Riley, M.D.J. Carlos Roman, M.D.Kenneth Rosenzweig, M.D.Reza Shahim, M.D.Joel Smith, M.D.Jason Stewart, M.D.Brad Thomas, M.D.Message*CAPTCHACommentsThis field is for validation purposes and should be left unchanged. Δ need help scheduling an appointment with a surgeon? request an appointment more questions? contact Main Line (501) 748-8000 Visit the hospital 5201 Northshore Drive North Little Rock, AR 72118 Use the bill pay system Online Bill pay