Active NPI
Gastroenterology Specialists of Arkansas
- Gastroenterology Physician
- Jonesboro, AR
National Provider Identifier
1649564592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E2819
- Legal business name
- GASTROENTEROLOGY SPECIALISTS OF ARKANSAS
- Practice address
- 300 Carson St
Jonesboro, AR 72401-3104 - Phone
- (870) 932-4462
- Fax
- (870) 910-7744
- NPI assigned
- Jun 7, 2011
- Last updated
- Jun 7, 2011
- 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. Donovan R Stockdale, M.D.
- Title
- Physician
- Phone
- (870) 932-4462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | E2819 | AR | Primary |
Addresses
Primary practice location
300 Carson St
Jonesboro, AR 72401-3104
Mailing address
300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-4462
National Provider Directory
National Provider DirectoryLocations
1000 E Matthews Ave
Ste E
Jonesboro, AR 72401
Phone (870) 336-0472
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Adult Health Clinical Nurse Specialist
- Jonesboro, AR
- NPI 1134489842
-
- Nurse Practitioner
- Jonesboro, AR
- NPI 1518934496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307404800000",
"number": "1649564592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CARSON ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013104",
"telephone_number": "870-932-4462",
"fax_number": "870-910-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CARSON ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013104",
"telephone_number": "870-932-4462",
"fax_number": "870-910-7744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY SPECIALISTS OF ARKANSAS",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A",
"authorized_official_last_name": "STOCKDALE",
"authorized_official_first_name": "DONOVAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "870-932-4462",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "E2819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.