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CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC PA NPI 1073521175


NPI Information

NPI: 1073521175
Provider Name: CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
212 NATURAL RESOURCES DR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 664-7200
Get Directions

CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA is a gastroenterology internal medicine in Little Rock, AR. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA NPI is 1073521175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

212 NATURAL RESOURCES DR
LITTLE ROCK, AR
ZIP 72205-573
Phone: (501) 664-7200
Fax: (501) 664-7205

The provider's authorized official is Keith Edward Morris .
The authorized official title is President and has the following contact phone number (501) 664-7200.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/14/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyE3487ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15M425MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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: 4/28/2024

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