Organization Active NPI

Digestive Care P a

Doing business as Digestive Care Russellville

  • Gastroenterology Physician
  • Russellville, AR
National Provider Identifier
1699539023
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE CARE P A
Doing business as
Digestive Care Russellville
Practice address
1600 W C PL
Russellville, AR 72801-2705
Phone
(870) 534-5533
Fax
(870) 534-5535
NPI assigned
Feb 7, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Syed Abdus Samad, MDNPI 1174585814
Title
Owner
Phone
(501) 663-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1600 W C PL
Russellville, AR 72801-2705

Mailing address

151 E Aspen LN
Russellville, AR 72802-8903
Phone (501) 663-2727

Other names 1

  • Digestive Care Russellville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Digestive Care P a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1699539023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E ASPEN LN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728028903",
            "telephone_number": "501-663-2727",
            "fax_number": "501-663-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W C PL",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012705",
            "telephone_number": "870-534-5533",
            "fax_number": "870-534-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "SAMAD",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ABDUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-663-2727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Care Russellville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Digestive Care Russellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.