Russellville Women'S Clinic

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

RUSSELLVILLE WOMEN'S CLINIC

Practice address

200 N Quanah Ave
Russellville, AR 72801-2762

Phone

(479) 968-1011

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Joe Cloud, M.D.

Title

Co-Owner

Phone

(479) 968-1011

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093774671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N QUANAH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012762",
            "telephone_number": "479-968-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N QUANAH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012762",
            "telephone_number": "479-968-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE WOMEN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "479-968-1011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUECROSS",
            "identifier": "57692",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russellville Holdings LLC
• Russellville Pediatric & Adolescent Clinic, PA
• Russellville Physical Therapy, Inc
• Russellville Primary Care Clinic, Inc.
• Russellville School District
• Kelly Marie Ruther
• Amanda Caitlyn Ryan
• Chelsie J Ryan, RECOVERY ASSISTANT
• Daniel Ford Ryder, DDS
• Rande Brooke Rye, APRN

• Obstetrics & Gynecology Physician in Russellville, AR
• Providers in Russellville, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.