Joe B Colclasure, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C4019 Issued in AR

Practice address

4020 Richards Rd Ste B
North Little Rock, AR 72117-2744

Phone

(501) 975-7550

Fax

(501) 975-7553

NPI assigned

Jan 17, 2006

Last updated

Jan 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Arkansas Otolaryngology Center, P.a.

  • Otolaryngology Physician
  • Little Rock, AR
  • NPI 1164449500
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1811977838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-5050",
            "fax_number": "501-227-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 RICHARDS RD STE B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172744",
            "telephone_number": "501-975-7550",
            "fax_number": "501-975-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLCLASURE",
        "first_name": "JOE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "C4019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104010001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eranesha L Cochran, PA-C, MS, RD
• John Allen Cockerell, M.D.
• Holly D. Cockrum, M.D.
• Michelle Coe, MHPP
• Dale E Colclasure Sr., DDS
• Ronald D Colclasure, D.C.
• Barbara Cole, APRN
• Brittnee Cole
• Genesis F.M. Cole
• Jason Cole, PHARM.D.

• Otolaryngology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Otolaryngology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.