Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | C6882 | AR |
Y | 207RI0011X | Interventional Cardiology | C6882 | AR |
NPI | 1023029550 |
---|---|
Provider Name | Dr. James E Shuffield |
First Address | Little Rock, AR 72205-6202 |
Second Address | Little Rock, AR 72205-6202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 03/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
119182001 | (05) | AR |
89T042 | MALP INS (01) | AR |
E83373 | (02) | AR |