Active NPI
James A. Metrailer Sr., M.D.
- Gastroenterology Physician
- Little Rock, AR
National Provider Identifier
1710943048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C5078
- Practice address
- 1100 N. University Ave
Suite 102
Little Rock, AR 72207 - Phone
- (501) 603-2244
- Fax
- (501) 603-0303
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C5078 | AR | Primary |
Addresses
Primary practice location
1100 N. University Ave
Suite 102
Little Rock, AR 72207
Mailing address
1100 N. University Ave
Suite 102
Little Rock, AR 72207
Phone (501) 603-2244
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104774001 | Medicaid | AR | |
| 391007 | Other | AR | HEALTH LINK |
| 4343604 | Other | AR | AETNA |
| 135402601 | Other | AR | UNITED HEALTHCARE |
| 13671000001 | Other | AR | QUALCHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5078 | AR | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1710943048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N. UNIVERSITY AVE",
"address_2": "SUITE 102",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72207",
"telephone_number": "501-603-2244",
"fax_number": "501-603-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N. UNIVERSITY AVE",
"address_2": "SUITE 102",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72207",
"telephone_number": "501-603-2244",
"fax_number": "501-603-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METRAILER",
"first_name": "JAMES",
"middle_name": "A.",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "C5078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104774001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "391007",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4343604",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "135402601",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "13671000001",
"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 Jul 30, 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.