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YOUR BARIATRIC CARE CLINIC EA NPI 1366933855


NPI Information

NPI: 1366933855
Provider Name: YOUR BARIATRIC CARE CLINIC EA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1 SAINT VINCENT CIR STE 320
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 663-9600
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

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.