Ralph Sidney Izard Jr., M.D.

Key facts

NPI

1972762045

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

C4334 (AR)

Practice address

9219 Sibley Hole Rd
Little Rock, AR 72209-8874

Phone

(501) 455-4977

Fax

(501) 455-3636

NPI assigned

Jun 4, 2008

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2008.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1972762045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 SIBLEY HOLE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722098874",
            "telephone_number": "501-455-4977",
            "fax_number": "501-455-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 SIBLEY HOLE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722098874",
            "telephone_number": "501-455-4977",
            "fax_number": "501-455-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZARD",
        "first_name": "RALPH",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C4334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

• Karen Elaine Ivy
• Lisa M Ivy, ANP
• Madalyn Ivy, PHARMD
• Vivikta Venkatesh Iyer, MD
• Ferrin Elizabeth Izard, LMSW
• J and R Plus Six Incorporated
• J P Rowen Surgery, PLC LLC
• J. Michael Carney, MD, PLLC
• J'Nicole Management Company LLC.
• Tryseldah Mutsago Jabangwe

All providers in Little Rock, AR · Family Medicine Physician in Arkansas