Provider Demographics
NPI:1710943048
Name:METRAILER, JAMES A SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:METRAILER
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 N. UNIVERSITY AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207
Mailing Address - Country:US
Mailing Address - Phone:501-603-2244
Mailing Address - Fax:501-603-0303
Practice Address - Street 1:1100 N. UNIVERSITY AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207
Practice Address - Country:US
Practice Address - Phone:501-603-2244
Practice Address - Fax:501-603-0303
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5078207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104774001Medicaid
AR391007OtherHEALTH LINK
AR4343604OtherAETNA
AR135402601OtherUNITED HEALTHCARE
AR13671000001OtherQUALCHOICE
AR4343604OtherAETNA
AR104774001Medicaid
AR135402601OtherUNITED HEALTHCARE