NPI 1689764151 · live from the CMS NPI Registry
Matthew Deneke, MD
Internal Medicine, Gastroenterology in Little Rock, AR. National Provider Identifier 1689764151, active.
NPI record
| NPI | 1689764151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 4301 W Markham St # 783, Little Rock, AR 72205 |
| Practice phone | 501-686-8000 |
| Enumerated | October 13, 2006 |
| Last updated | September 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | 107008 (MN) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 56852 (MN) |
| Internal Medicine | 207R00000X | E-4436 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.