Digestive Care PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

R4495 Issued in AR

Legal business name

DIGESTIVE CARE PA

Practice address

14918 Cantrell Rd
Little Rock, AR 72223-4248

Phone

(501) 663-4747

Fax

(501) 663-4757

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Fran L Stucks, ETC.

Title

Administrator

Phone

(870) 534-5533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Digestive Care P a

  • Gastroenterology Physician
  • Pine Bluff, AR
  • NPI 1629030358

  O20100826000026

  Same enrollment

Tax ID family

Digestive Care P a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Digestive Care P a

  • Gastroenterology Physician
  • Pine Bluff, AR
  • NPI 1629030358
  NPD tax ID
• Digestive Care P a

  • Gastroenterology Physician
  • Russellville, AR
  • NPI 1699539023
  NPD tax ID

Locations

Practitioners 7

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

• Meenakshi Budhraja, MD

  • Gastroenterology Physician
  • Little Rock, AR
  • NPI 1700931755

  Gastroenterology

  NPD
• Chun-Yang Fan, MD

  • Anatomic Pathology Physician
  • Little Rock, AR
  • NPI 1700976297
  NPD
• Brian L. McGee, MD

  • Gastroenterology Physician
  • Little Rock, AR
  • NPI 1497979652

  Gastroenterology

  NPD
• Ioannis Papayannis, M.D.

  • Gastroenterology Physician
  • Pine Bluff, AR
  • NPI 1013250554

  Gastroenterology

  NPD
• Katia Rayburn, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1740870583
  NPD
• Syed Abdus Samad, MD

  • Gastroenterology Physician
  • Pine Bluff, AR
  • NPI 1174585814

  Gastroenterology

  NPD
• Cyrus Pesi Tamboli, MD

  • Gastroenterology Physician
  • Pine Bluff, AR
  • NPI 1265420830

  Gastroenterology

  NPD

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1124299599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2797",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716132797",
            "telephone_number": "870-534-5533",
            "fax_number": "870-534-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14918 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234248",
            "telephone_number": "501-663-4747",
            "fax_number": "501-663-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "STUCKS",
        "authorized_official_first_name": "FRAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-534-5533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ETC."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "R4495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Adrian Dickson, BS,RT,R,MR
• Julianne Dieckman, PA-C
• Chase Conway Diemer, D.D.S.
• Pamela Diemer, TEACHER
• John E Dietrich, M.D.
• Digestive Partners of Arkansas PLLC
• Digestive Wellness Clinic, PLLC
• Shenna Diggins
• Dignity Enterprises, Inc.
• Dale Dildy, MD

• All providers in Little Rock, AR
• Gastroenterology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.