Organization Active NPI

Arkansas Liver and Gastroenterology, PA

Doing business as The Liver Care Clinics

  • Clinic/Center
  • Bethany, OK
National Provider Identifier
1366943151
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARKANSAS LIVER AND GASTROENTEROLOGY, PA
Doing business as
The Liver Care Clinics
Practice address
2347 North Thompkins Ave
Bethany, OK 73008
Phone
(479) 242-2888
Fax
(479) 242-2889
NPI assigned
Feb 27, 2018
Last updated
Feb 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Mrs. Sarah Jessica-Elise Coluccino
Title
Office Manager
Phone
(479) 242-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2347 North Thompkins Ave
Bethany, OK 73008

Mailing address

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

Other names 1

  • The Liver Care Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ar Liver Gastroenterology12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

2347 N Thompkins Ave
Bethany, OK 73008

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": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1366943151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 OLD GREENWOOD ROAD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "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": "2347 NORTH THOMPKINS AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "73008",
            "telephone_number": "479-242-2888",
            "fax_number": "479-242-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS LIVER AND GASTROENTEROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "COLUCCINO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JESSICA-ELISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-242-2888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Liver Care Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.