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W L RUTLEDGE MD PA NPI 1427297902


NPI Information

NPI: 1427297902
Provider Name: W L RUTLEDGE MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D1097108

Address:
9712 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 225-3384
Get Directions

W L RUTLEDGE MD PA is a family medicine in Little Rock, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. W L RUTLEDGE MD PA NPI is 1427297902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9712 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205-124
Phone: (501) 225-3384

The provider's authorized official is William L Rutledge .
The authorized official title is President/owner and has the following contact phone number (501) 225-3384.

The CLIA number assigned to this NPI record is 04D1097108 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2009 and was last updated on 3/25/2010.


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
1208600000XSurgeryR3422ARKANSASNo
2207Q00000XFamily MedicineR3422ARKANSASYes

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
11003820036OTHERARKANSASINDIVIDUAL NPI
254638G080MEDICARE PINARKANSAS
3105362001MEDICAIDARKANSAS
4B90544MEDICARE UPINARKANSAS

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.