Active NPI
Joseph G Wyble, M.D.
- Internal Medicine Physician
- Little Rock, AR
National Provider Identifier
1124099262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-3351
- Practice address
- 10001 Lile Dr
Little Rock, AR 72205-6217 - Phone
- (501) 227-8000
- Fax
- (501) 320-1620
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | E3351 | AR | |
| Internal Medicine Physician | 207R00000X | E-3351 | AR | Primary |
Addresses
Primary practice location
10001 Lile Dr
Little Rock, AR 72205-6217
Mailing address
10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149448001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3351 | AR | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1124099262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 LILE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056217",
"telephone_number": "501-227-8000",
"fax_number": "501-320-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 LILE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056217",
"telephone_number": "501-227-8000",
"fax_number": "501-320-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYBLE",
"first_name": "JOSEPH",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AR",
"license": "E3351",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-3351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149448001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}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 Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.