NPIMap

Organization Active NPI

James D Studdard, MD, P.a.

  • Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1043386139
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
C4534 Issued in AR
Legal business name
JAMES D STUDDARD, MD, P.A.
Doing business as
Little Rock Gynecology Clinic, P.A.
Practice address
904 Autumn Rd Ste 500
Little Rock, AR 72211-3738
Phone
(501) 225-9905
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James D Studdard, M.D.NPI 1164491270
Title
Owner
Phone
(501) 225-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X C4534 AR Primary

Addresses

Primary practice location

904 Autumn Rd Ste 500
Little Rock, AR 72211-3738

Mailing address

904 Autumn Rd Ste 500
Little Rock, AR 72211-3738

Other identifiers 2

IdentifierTypeStateIssuer
11579002MedicaidAR
160005900OtherARRR MEDICARE

Other names 1

  • Little Rock Gynecology Clinic, P.A. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1043386139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD STE 500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD STE 500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113738",
            "telephone_number": "501-225-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D STUDDARD, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "STUDDARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-225-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "C4534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11579002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "160005900",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Rock Gynecology Clinic, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.