DIGESTIVE WELLNESS CLINIC, PLLC (NPI# 1780076380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780076380 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE WELLNESS CLINIC, PLLC |
| Practice Address |
11321 Interstate 30 Ste. 100 Little Rock AR 72209-7040 |
| Practice Telephone | 5014072036 |
| Practice Fax Number | 5014072129 |
| Mailing Telephone | 5014072036 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-20 |
| Authorized Official Name | DR. MEENAKSHI BUDHRAJA (OWNER) |
| Authorized Official Telephone | 5014072036 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
AR | Allopathic & Osteopathic Physicians |
| Street Address |
11321 INTERSTATE 30 STE. 100 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-7040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265572 | Ahmed T Abdelal | Internal Medicine | 11321 Interstate 30, Ste 308, Little Rock, AR 72209-7067 | 2005-06-16 |
| 1205362969 | Elizabeth Winningham | Nurse Practitioner | 11321 Interstate 30, Suite 101, Little Rock, AR 72209-7040 | 2017-05-02 |
| 1871959874 | Arkansas Health Group | Psychiatry & Neurology | 11321 Interstate 30, Suite 304, Little Rock, AR 72209-7040 | 2016-01-06 |
| 1851765820 | Meghan Cantlon Dixon | Dietitian, Registered | 11321 Interstate 30, Ste 100, Little Rock, AR 72209-7040 | 2015-11-13 |
| 1790191914 | Justin Matthew Sharpe | Nurse Practitioner | 11321 Interstate 30, Suite 101, Little Rock, AR 72209-7040 | 2014-07-08 |
| 1053609925 | Tonya Leigh Scrimshire | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-07-13 |
| 1235426016 | Rebecca Mccutcheon | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-06-30 |
| 1538455589 | Gloria Stevens | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-06-28 |
| 1306131552 | Shannon Brooke Earley | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-06-16 |
| 1295020303 | Ashley Nicole Ball | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073079596 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 Rodney Parham Rd, Suite A, Little Rock, AR 72212-7221 | 2019-02-20 |
| 1508357120 | Stephan Dehmel | Internal Medicine | 4301 W Markham St Ste 567, Little Rock, AR 72205-7101 | 2018-05-21 |
| 1366933855 | Your Bariatric Care Clinic Ea | Internal Medicine | 1 Saint Vincent Cir Ste 320, Little Rock, AR 72205-5408 | 2018-05-21 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| 1265675466 | Drs Budhraja, Pa | Internal Medicine | 11321 Interstate 30 Ste 200, Little Rock, AR 72209-7066 | 2009-04-17 |
| 1376706978 | Mary Katherine Rude | Internal Medicine | 4301 West Markham, Mail Slot 567, Shorey Building, Room S8/68, Little Rock, AR 72205 | 2008-07-03 |
| 1730280165 | Daniel Kristan Brown | Internal Medicine | 417 N. University, Little Rock, AR 72205 | 2006-09-26 |
| 1225049059 | William Jack Morton | Internal Medicine | 4300 W 7th St # 111h, Little Rock, AR 72205-5446 | 2006-08-10 |
| 1487682613 | Paul E Williams | Internal Medicine | 9601 Baptist Health Dr Ste 970a, Little Rock, AR 72205-6321 | 2006-06-28 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
Please comment or provide details below to improve the information on DIGESTIVE WELLNESS CLINIC, PLLC.
| 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.