NPIMap

Organization Active NPI

Arkansas Liver and Gastroenterology

  • Gastroenterology Physician
  • Fort Smith, AR
National Provider Identifier
1114872157
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ARKANSAS LIVER AND GASTROENTEROLOGY
Practice address
3215 Old Greenwood Road
Suite a
Fort Smith, AR 72903-5375
Phone
(479) 242-2888
NPI assigned
Mar 4, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS LIVER AND GASTROENTEROLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Sarah Coluccino
Title
Manager
Phone
(479) 242-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3215 Old Greenwood Road
Suite a
Fort Smith, AR 72903-5375

Mailing address

3416 Old Greenwood Rd
Fort Smith, AR 72903-5462
Phone (479) 242-2888

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Liver and Gastroenterology PA12 organizations share this tax ID, including this one
Part of
Arkansas Liver and Gastroenterology PA

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1114872157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 OLD GREENWOOD RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035462",
            "telephone_number": "479-242-2888",
            "fax_number": "479-242-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 OLD GREENWOOD ROAD",
            "address_2": "SUITE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035375",
            "telephone_number": "479-242-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS LIVER AND GASTROENTEROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS LIVER AND GASTROENTEROLOGY",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "COLUCCINO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-242-2888"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.