NPIMap

Organization Active NPI

Arkansas Liver and Gastroenterology, P.a.

  • Gastroenterology Physician
  • Broken Arrow, OK
National Provider Identifier
1992254346
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.
Practice address
817 S Elm PL
Suite 105
Broken Arrow, OK 74012-5369
Phone
(479) 242-2888
Fax
(479) 242-2889
NPI assigned
Sep 27, 2016
Organization subpart
Yes
Parent organization
ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Dr. Ihab Herraka, M.D.NPI 1174610018
Title
President
Phone
(479) 242-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X AR Primary

Addresses

Primary practice location

817 S Elm PL
Suite 105
Broken Arrow, OK 74012-5369

Mailing address

3416 Old Greenwood Rd
Fort Smith, AR 72903-5462
Phone (479) 242-2888

Other names 1

  • The Liver Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ar Liver and Ge12 organizations share this tax ID, including this one
Part of
Ar Liver and Ge

Other organizations with this tax ID 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1992254346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 OLD GREENWOOD RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035462",
            "telephone_number": "479-242-2888",
            "fax_number": "479-242-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S ELM PL",
            "address_2": "SUITE 105",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "479-242-2888",
            "fax_number": "479-242-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "HERRAKA",
        "authorized_official_first_name": "IHAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-242-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Liver Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.