Your Bariatric Care Clinic Ea

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C-7393 Issued in AR

Legal business name

YOUR BARIATRIC CARE CLINIC EA

Practice address

1 Saint Vincent Cir Ste 320
Little Rock, AR 72205-5408

Phone

(501) 663-9600

Fax

(501) 217-8502

NPI assigned

May 21, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Rucks

Title

Office Manager

Phone

(501) 663-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1366933855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055408",
            "telephone_number": "501-663-9600",
            "fax_number": "501-217-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055408",
            "telephone_number": "501-663-9600",
            "fax_number": "501-217-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR BARIATRIC CARE CLINIC EA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "RUCKS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-663-9600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "C-7393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558330431",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Youngblood, PA-C
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• Julie M Youngs, MD
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• Sara Yousef
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• Gastroenterology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Gastroenterology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.