RUSSELLVILLE GYNECOLOGY CLINIC (NPI# 1164412243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164412243 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE GYNECOLOGY CLINIC |
| Practice Address |
914 W B St Russellville AR 72801-3502 |
| Practice Telephone | 4799687909 |
| Practice Fax Number | 4799686908 |
| Mailing Telephone | 4799687909 |
| Mailing Fax Number | 4799686908 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LAWRENCE DOUGLAS BATTLES (PRESIDENT) |
| Authorized Official Telephone | 4799687909 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
C4687 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | UNITED HEALTHCARE NUMBER | 7420060 | 01 |
| AR | AETNA NUMBER | 0004567368 | 01 |
| AR | QUALCHOICE NUMBER | 13403000000 | 01 |
| Street Address |
914 W B ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422521 | Lawrence Douglas Battles | Obstetrics & Gynecology | 914 W B St, Russellville, AR 72801-3502 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422521 | Lawrence Douglas Battles | Obstetrics & Gynecology | 914 W B St, Russellville, AR 72801-3502 | 2005-10-26 |
| 1093920480 | Pathak & Pathak, M.d., P.s.c. | Obstetrics & Gynecology | 1527 Nashville St, Russellville, KY 42276-8851 | 2007-05-11 |
| 1841330933 | Kunja J Pathak | Obstetrics & Gynecology | 1527 Nashville St, Russellville, KY 42276-8851 | 2007-02-07 |
| 1609858174 | Eduardo Lorenzo Santiago | Obstetrics & Gynecology | 15225 Highway 43, Russellville, AL 35653-1999 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629565072 | Womens Center for Health and Wellness, Pllc | Obstetrics & Gynecology | 8101 Mcclure Dr., Suite 100, Fort Smith, AR 72916 | 2018-04-20 |
| 1922518406 | Jerry Arthur Jones | Obstetrics & Gynecology | 430 Janan Ct, Conway, AR 72034-5606 | 2017-10-10 |
| 1255865036 | Dr. Frances Renee Montgomery | Obstetrics & Gynecology | 1432 Braden St Ste B, Jacksonville, AR 72076-3721 | 2017-04-18 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| 1841541752 | Charles R Henry Jr. | Obstetrics & Gynecology | 5320 Sherwood Rd, Little Rock, AR 72207-5332 | 2012-10-02 |
| 1558620856 | Amanda Leah Spahn | Obstetrics & Gynecology | 8101 Mcclure Dr Ste 100, Fort Smith, AR 72916-6044 | 2012-05-08 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1043386139 | James D Studdard, Md, P.a. | Obstetrics & Gynecology | 904 Autumn Rd Ste 500, Little Rock, AR 72211-3738 | 2006-11-28 |
| 1588754071 | Mamie H Owens | Obstetrics & Gynecology | 9501 Baptist Health Dr Ste 770, Little Rock, AR 72205-6227 | 2006-10-13 |
| 1194751164 | Elizabeth Ann Woods | Obstetrics & Gynecology | 525 N Garland Ave, Fayetteville, AR 72701-3110 | 2006-06-23 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on RUSSELLVILLE GYNECOLOGY CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.