PINE BLUFF ENDOSCOPY CENTER LLC NPI 1275541427

NPI Information

  • NPI: 1275541427
  • Provider Name: PINE BLUFF ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • Address: 1609 W 40TH AVE
    SUITE 312
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 534-2626

Map and Directions

Get Directions

NPI Details

PINE BLUFF ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Pine Bluff, AR. PINE BLUFF ENDOSCOPY CENTER, LLC NPI is 1275541427. The provider is registered as an organization entity type.

The provider's business location address is:

1609 W 40TH AVE
SUITE 312
PINE BLUFF, AR
ZIP 71603-319
Phone: (870) 534-2626
Fax: (870) 534-3517

The provider's authorized official is O.t. Gordon .
The authorized official title is Managing Member and has the following contact phone number (870) 534-3344.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 11/25/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0800XClinic/CenterEndoscopyAR4347ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111066OTHERARKANSASBLUE CROSS BLUE SHIELD
2P00355592OTHERARKANSASRAIL ROAD MEDICARE
311066MEDICARE PINARKANSAS
4161691128MEDICAIDARKANSAS

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI