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PEDIATRIC ASSOCIATES OF JONESBORO PLLC NPI 1134121635


NPI Information

NPI: 1134121635
Provider Name: PEDIATRIC ASSOCIATES OF JONESBORO, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1150 E MATTHEWS AVE
SUITE 101
JONESBORO, AR
ZIP 72401
Phone: (870) 972-5437
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PEDIATRIC ASSOCIATES OF JONESBORO, PLLC is a pediatrics in Jonesboro, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC ASSOCIATES OF JONESBORO, PLLC NPI is 1134121635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1150 E MATTHEWS AVE
SUITE 101
JONESBORO, AR
ZIP 72401-314
Phone: (870) 972-5437
Fax: (870) 972-0104

The provider's authorized official is Richard M Reinhard .
The authorized official title is Memeber and has the following contact phone number (870) 972-5437.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 7/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMC-2201ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15C645OTHERARKANSASBLUE CROSS NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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