Estelle a. Rutledge, M.D., PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E-6039 Issued in AR

Legal business name

ESTELLE A. RUTLEDGE, M.D., PA

Practice address

23157 I-30 South
Suite 200
Bryant, AR 72022-2593

Phone

(501) 847-0834

Fax

(501) 847-1731

NPI assigned

Mar 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Estelle Alexis Rutledge, M.D.

Title

Owner

Phone

(501) 960-1390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1487896130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23157 I-30 SOUTH",
            "address_2": "SUITE 200",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222593",
            "telephone_number": "501-847-0834",
            "fax_number": "501-847-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTELLE A. RUTLEDGE, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-960-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-6039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177688002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Bryant, AR
• Providers in Bryant, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.