MRS. RUTH SUZANNE CLEMMONS (NPI# 1902301963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902301963 |
| Entity Type | Individual |
| Full Name | MRS. RUTH SUZANNE CLEMMONS |
| Other Name | RUTH SUZANNE MCCOY |
| Credential | PA-C |
| Practice Address |
500 S University Ave Ste 615 Little Rock AR 72205-5308 |
| Practice Telephone | 5016663666 |
| Practice Fax Number | 5019079069 |
| Mailing Telephone | 5016663666 |
| Mailing Fax Number | 5019079069 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
PA-776 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | LICENSE | PA-776 | 01 |
| Street Address |
500 S UNIVERSITY AVE STE 615 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740353143 | Kimbra Michelle Brooks | Dietitian, Registered | 500 S University Ave Ste 615, Little Rock, AR 72205-5308 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1952637951 | James R Thrasher, M.d., P.a. | Internal Medicine | 11400 Huron Lane, 11400 Huron Lane, Little Rock, AR 72211-1847 | 2009-10-26 |
| 1487801056 | Archana Jarathi | Internal Medicine | 11321 I 30 Ste 200, Little Rock, AR 72209-7066 | 2008-08-26 |
| 1396854352 | Irina Lendel | Internal Medicine | 4301 W Markham St # 587, Little Rock, AR 72205-7101 | 2006-08-30 |
| 1881646180 | Richard F Griffiths | Internal Medicine | 701 N University Ave Ste 201, Little Rock, AR 72205-2936 | 2006-05-16 |
| 1306489406 | Prime Endocrinology LLC | Internal Medicine | 11321 Interstate 30 Ste 200, Little Rock, AR 72209-7066 | 2019-10-21 |
| 1467838441 | Madhura Subhash Borikar | Internal Medicine | 10001 Lile Dr, Little Rock, AR 72205-6217 | 2015-08-03 |
| 1679843445 | Little Rock Endocrinology Services | Internal Medicine | 11400 Huron Lane, 11400 Huron Lane, Little Rock, AR 72211-1847 | 2012-01-10 |
| 1003133224 | Elena Ambrogini | Internal Medicine | 4301 W Markham St, # 783, Little Rock, AR 72205-7101 | 2010-04-27 |
| 1740506302 | Spyridoula Maraka | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2010-04-07 |
| 1508096405 | Castro Bali | Internal Medicine | 701 N University Ave, Suite 201, Little Rock, AR 72205-2936 | 2009-07-26 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MRS. RUTH SUZANNE CLEMMONS.
| 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.