Active NPI
W L Rutledge MD PA
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1427297902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R3422
- Legal business name
- W L RUTLEDGE MD PA
- Practice address
- 9712 W Markham St
Little Rock, AR 72205-2124 - Phone
- (501) 225-3384
- NPI assigned
- Feb 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William L Rutledge, MD
- Title
- President/Owner
- Phone
- (501) 225-3384
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R3422 | AR | Primary |
| Surgery Physician | 208600000X | R3422 | AR |
Addresses
Primary practice location
9712 W Markham St
Little Rock, AR 72205-2124
Mailing address
1501 N University Ave
Suite 500
Little Rock, AR 72207-5242
Phone (501) 661-8207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105362001 | Medicaid | AR | |
| 1003820036 | Other | AR | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Little Rock, AR
- NPI 1023009040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269475200000",
"number": "1427297902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N UNIVERSITY AVE",
"address_2": "SUITE 500",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722075242",
"telephone_number": "501-661-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052124",
"telephone_number": "501-225-3384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W L RUTLEDGE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-06",
"last_updated": "2010-03-25",
"status": "A",
"authorized_official_last_name": "RUTLEDGE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "501-225-3384",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AR",
"license": "R3422",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "AR",
"license": "R3422",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105362001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1003820036",
"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 Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.