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RUSSELLVILLE GYNECOLOGY CLINIC
NPI 1164412243
Obstetrics & Gynecology - Gynecology in Russellville, AR

Active since October 28, 2005
914 W B ST, RUSSELLVILLE, AR 72801(479) 968-7909(479) 968-6908 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russellville Gynecology Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELLVILLE GYNECOLOGY CLINIC (NPI 1164412243) is a healthcare organization registered as a gynecology in Russellville, Arkansas and active in the NPI registry since October 2005. The organization lists Lawrence Douglas Battles, President, as its authorized official.

NPPES Registry Identity

NPI1164412243
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameRUSSELLVILLE GYNECOLOGY CLINIC
Location Address914 W B STRussellville, AR 72801-3502
Mailing Address914 W B StRussellville, AR 72801-3502 · (479) 968-7909 · Fax (479) 968-6908
Phone(479) 968-7909
Fax(479) 968-6908
Organization SubpartNo
Authorized OfficialLawrence Douglas BattlesPresident · (479) 968-7909
Enumeration DateOctober 28, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164412243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in AR · C4687
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
914 W B ST, Russellville, AR 72801
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Other Identifiers 3

Other7420060AR · United Healthcare Number
Other0004567368AR · Aetna Number
Other13403000000AR · Qualchoice Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russellville Gynecology Clinic's NPI number?

The NPI number for Russellville Gynecology Clinic is 1164412243. It was assigned to this organization in the NPPES registry on October 28, 2005.

Where is Russellville Gynecology Clinic located?

Russellville Gynecology Clinic is located at 914 W B St, Russellville, AR 72801. The listed phone number is (479) 968-7909.

What is Russellville Gynecology Clinic's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Russellville Gynecology Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.