DR. DWAYNE L. RUGGLES (NPI# 1841316775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841316775 |
| Entity Type | Individual |
| Full Name | DR. DWAYNE L. RUGGLES |
| Credential | M.D. |
| Practice Address |
2200 Fort Roots Dr North Little Rock AR 72114-1709 |
| Mailing Address |
2305 Hidden Valley Dr Little Rock AR 72212-3513 |
| Practice Telephone | 5012572620 |
| Mailing Telephone | 5012275103 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | R-2057 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
2200 FORT ROOTS DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388401 | Ivy V Mcgee | Family Medicine | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2005-07-07 |
| 1477161586 | Kaila Mitchell | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-07-15 |
| 1689200040 | Tonie Brenee' Williams | Social Worker | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-03-18 |
| 1447899646 | Eugenia Boozer | Clinical Neuropsychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-01-06 |
| 1376181263 | Linda Shrader | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114 | 2019-12-11 |
| 1205470507 | Julie Renee Thyberg | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-10-30 |
| 1588215966 | Venius Vernester Russell | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-26 |
| 1538718119 | Mary Kathryn Martin | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-06 |
| 1689223596 | Meriline White | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-04 |
| 1124677943 | Felicia Clayton | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114 | 2019-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225170376 | Jason A Smith | Otolaryngology | 4901 Fairway Ave, Suite C, North Little Rock, AR 72116-6923 | 2007-02-13 |
| 1811977838 | Joe B Colclasure | Otolaryngology | 4020 Richards Rd Ste B, North Little Rock, AR 72117-2744 | 2006-01-17 |
| 1891778650 | David L Cash | Otolaryngology | 4701 Fairway Ave, Suite C, North Little Rock, AR 72116-8066 | 2005-11-25 |
| 1609966530 | Arkansas Ear Nose & Throat, P.a. | Otolaryngology | 4020 Richards Rd Ste B, North Little Rock, AR 72117-2744 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1992125850 | White River Health System, Inc. | Otolaryngology | 501 Virginia Dr Ste A, Batesville, AR 72501-7317 | 2014-04-18 |
| 1437590080 | John R Sims | Otolaryngology | 8901 Carti Way Ste 201, Little Rock, AR 72205-6523 | 2013-07-11 |
| 1467726539 | William Rolland Eddington | Otolaryngology | 2564 Greene Road 739, Paragould, AR 72450-8859 | 2012-03-06 |
| 1558650960 | Graham Michael Strub | Otolaryngology | 1 Childrens Way # 836, Little Rock, AR 72202-3500 | 2011-04-06 |
| 1346478484 | Family Ent & Sinus Center of Harrison, P.a. | Otolaryngology | 1401 Mccoy Drive, Harrison, AR 72601-2417 | 2009-06-28 |
| 1376760215 | Robert Vernon Borg | Otolaryngology | 214 Leigh Cir, Hot Springs, AR 71901-7758 | 2007-04-20 |
| 1689730459 | Gordon Carl Shipp | Otolaryngology | 4301 W Markham St # 543, Little Rock, AR 72205-7101 | 2006-12-28 |
| 1275605206 | Sharon Marie Tomaski | Otolaryngology | 620 W Grove St Ste 201, El Dorado, AR 71730-4425 | 2006-11-14 |
| 1801986393 | Felicia Johnson | Otolaryngology | 601 W Maple Ave Ste 213, Springdale, AR 72764-5397 | 2006-10-13 |
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| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
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| 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.