YOUR BARIATRIC CARE CLINIC EA NPI 1366933855

NPI Information

  • NPI: 1366933855
  • Provider Name: YOUR BARIATRIC CARE CLINIC EA
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 1 SAINT VINCENT CIR STE 320
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 663-9600

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NPI Details

YOUR BARIATRIC CARE CLINIC EA 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. YOUR BARIATRIC CARE CLINIC EA NPI is 1366933855. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 SAINT VINCENT CIR STE 320
LITTLE ROCK, AR
ZIP 72205-408
Phone: (501) 663-9600
Fax: (501) 217-8502

The provider's authorized official is Nicole Rucks .
The authorized official title is Office Manager and has the following contact phone number (501) 663-9600.

The enumeration date for this NPI number is 5/21/2018 and was last updated on 5/21/2018.

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
1207RG0100XInternal MedicineGastroenterologyC-7393ARKANSASYes

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
11558330431OTHERARKANSASNPI

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: 3/30/2025

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