ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.


Address: 817 S Elm Pl, Suite 105, Broken Arrow, OK 74012-5369
Phone: 4792422888

ARKANSAS LIVER AND GASTROENTEROLOGY, P.A. (NPI# 1992254346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992254346
Entity Type Organization
Organization Name ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.
Other Organization Name THE LIVER CARE CLINIC
Practice Address 817 S Elm Pl
Suite 105
Broken Arrow
OK 74012-5369
Mailing Address 3416 Old Greenwood Rd
Fort Smith
AR 72903-5462
Practice Telephone 4792422888
Practice Fax Number 4792422889
Mailing Telephone 4792422888
Mailing Fax Number 4792422889
Enumeration Date 2016-09-27
Last Update Date 2016-09-27
Authorized Official Name DR. IHAB HERRAKA (PRESIDENT)
Authorized Official Telephone 4792422888
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
AR Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
The Liver Care Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295281293 Arkansas Liver and Gastroenterology, P.a. Internal Medicine 1605 West Main Street, Russellville, AR 72801 2016-08-30
1871049932 Arkansas Liver and Gastroenterology, P.a. Internal Medicine 901 Se 28th St, Bentonville, AR 72712-3880 2016-08-29
1316493307 Arkansas Liver and Gastroenterology, P.a. Internal Medicine 1103 College Dr, Mena, AR 71953-2519 2016-08-30
1942756945 Arkansas Liver and Gastroenterology, P.a. Internal Medicine 3900 W Broadway St, Muskogee, OK 74401-2145 2016-08-30
1588110647 Arkansas Liver and Gastroenterology, P.a. Internal Medicine 295 Section Line Road, Hot Springs, AR 71913 2016-08-29

Office Location

Street Address 817 S ELM PL
SUITE 105
City BROKEN ARROW
State OK
Zip Code 74012-5369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164428215 Mark Steven Hamra Allergy & Immunology 817 S Elm Pl, Ste 107, Broken Arrow, OK 74012-5369 2005-06-23
1164082707 Adriane Paige Brower Technician, Other 817 S Elm Pl, Broken Arrow, OK 74012-5369 2019-06-17
1124561113 Dustin O. Hayes, D.o., P.C. General Practice 817 S Elm Pl, Suite C, Broken Arrow, OK 74012-5369 2016-11-23
1790127900 Broken Arrow Family Practice Center Plc Clinic/Center 817 S Elm Pl, Suite A, Broken Arrow, OK 74012-5369 2013-07-29
1184981144 Dustin O'leath Hayes Psychiatry & Neurology 817 S Elm Pl, Suite C, Broken Arrow, OK 74012-5369 2012-04-16
1093993933 Catherine S Morgan Lcsw Inc Community/Behavioral Health 817 S Elm Pl, B, Broken Arrow, OK 74012-5369 2008-02-02
1538280920 Elizabeth Dawn Campbell Family Medicine 817 S Elm Pl, Broken Arrow, OK 74012-5369 2007-04-03
1609933100 Stephen Lester Greer Psychiatry & Neurology 817 S Elm Pl, Broken Arrow, OK 74012-5369 2007-01-03
1659457703 Gaurangi Manek Anklesaria Family Medicine 817 S Elm Pl, #104, Broken Arrow, OK 74012-5369 2006-10-31
1912019654 Catherine S. Morgan Social Worker 817 S Elm Pl, B, Broken Arrow, OK 74012-5369 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154949139 Bonnie Jordan James Pharmacist 915 E Kenosha St, Broken Arrow, OK 74012 2020-07-07
1548814874 Flawless Smile Dentistry of Ba Pllc Dentist 2319 N. 9th Street, Broken Arrow, OK 74012 2019-07-25
1780236653 Carefirst Pharmacy Inc. Pharmacy 2530 N. Elm Pl., Broken Arrow, OK 74012 2019-07-11
1043871213 Stacy Lynn Mitchell Counselor 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 2019-06-27
1497319297 Sara Hart Internal Medicine 420 W. Stone Wood Drive, Broken Arrow, OK 74012 2019-04-26
1699262386 Fulps Family Eye Care, LLC Optometrist 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 2018-04-18
1598284358 Stephanie Sue Mcquarters Clinical Medical Laboratory 1840 South Lion Avenue, Broken Arrow, OK 74012 2017-09-13
1477072460 Kama Rae Gettings Nurse Practitioner 4623 W. Kenosha St, Broken Arrow, OK 74012 2017-09-12
1689196727 Kristen Sherie' Snyder Case Manager/Care Coordinator 1324 North Umbrella Avenue, Broken Arrow, OK 74012 2017-07-11
1699216754 Hillside Wellness Plllp Chiropractor 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 2017-03-09
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184797813 Sarah Von Muller, Md, Pllc Internal Medicine 1615 S Eucalyptus Ave, Suite 103, Broken Arrow, OK 74012-5990 2006-11-17
1710094925 Sarah Bell Von Muller Internal Medicine 1615 S Eucalyptus Ave, Suite 103, Broken Arrow, OK 74012 2006-08-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760720668 Stillwater Histology LLC Internal Medicine 1301 W. 6th St, Suite 106, Stillwater, OK 74074 2013-01-28
1568706554 Ahmad S Jazzar Internal Medicine 5617 Normandy Ter, Oklahoma City, OK 73142-1823 2012-11-15
1730444886 Molly Beth Lindquist Disbrow Internal Medicine 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 2012-07-05
1306111448 Southwest Gastroenterology Associates Pllc Internal Medicine 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 2012-03-21
1154611457 Aatish Mukesh Patel Internal Medicine 4200 E Skelly Dr Ste 700, Tulsa, OK 74135-3256 2011-04-08
1447478722 Richard W. Seifert, M.d., Inc Internal Medicine 1145 S. Utica, Suite 909, Tulsa, OK 74104 2007-04-23
1528199866 Verapan Vongthavaravat Internal Medicine 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 2007-03-08
1992852875 Shih-kuang Hong Internal Medicine 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 2007-01-04
1407920036 Robert Edward Ringrose Internal Medicine 324 E Oklahoma Ave, Guthrie, OK 73044-3315 2006-11-17
1083709430 Imad A Zantout Internal Medicine 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 2006-10-03
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Competitor

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City BROKEN ARROW
Zip Code 74012

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Dataset Information

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.

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