Rex E Luttrell, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C-6721 Issued in AR

Practice address

1300 Braden St
Pod B
Jacksonville, AR 72076-3719

Phone

(501) 978-4343

Fax

(501) 975-8995

NPI assigned

Jun 22, 2005

Last updated

Oct 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saline Clinics LLC

  • Gastroenterology Physician
  • Benton, AR
  • NPI 1447609367

  Surgery

  Medicare reassignment NPD
• Rex Edward Luttrell MD PA

  • Surgery Physician
  • Jacksonville, AR
  • NPI 1548276223
  Authorized official Same address or phone
• Central Arkansas Spine Specialist

  • Durable Medical Equipment & Medical Supplies
  • Benton, AR
  • NPI 1205280138
  NPD (past)
• Jacksonville Emergency Medicine LLC

  • Emergency Medicine Physician
  • Jacksonville, AR
  • NPI 1093044166
  NPD (past)
• Saline Physician Services, LLC

  dba Bryant Medical Clinic

  • Internal Medicine Physician
  • Bryant, AR
  • NPI 1144559287
  NPD (past)
• St. Vincent Medical Group

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134176480

  Surgery

  NPD (past)
• Surgical Clinic, PA

  dba Surgical Clinic of Central Arkansas

  • Specialist
  • Little Rock, AR
  • NPI 1386698959
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1477559680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5209",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720785209",
            "telephone_number": "501-978-4343",
            "fax_number": "501-975-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRADEN ST",
            "address_2": "POD B",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763719",
            "telephone_number": "501-978-4343",
            "fax_number": "501-975-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "REX",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C-6721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Love & Care Home Care Services LLC
• Jennifer Dena Lovell, QBHP
• LTC of Jacksonville, LLC (Woodland Hills Healthcare and Rehabilitation)
• Ronald Frank Lukas, PD
• Whitney Luth, DPT
• M & T Healthcare Management and Services (Essence of Love)
• Sridhar Reddy Madgula, M.D.
• Magnus Opus Technology
• Miekka Michelle Maile
• Lori G Main, TECHNICIAN

• Surgery Physician in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.