MARYELLE GEORGETTE VONLANTHEN MD NPI 1215907894

NPI Information

NPI: 1215907894
Provider Name: MARYELLE GEORGETTE VONLANTHEN, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

Address:
1515 S BOWMAN RD
SUITE B
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 228-7171
Get Directions

Maryelle Georgette Vonlanthen, MD is a pediatric gastroenterology pediatrics in Little Rock, AR. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Maryelle Georgette Vonlanthen, MD NPI is 1215907894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1515 S BOWMAN RD
SUITE B
LITTLE ROCK, AR
ZIP 72211-207
Phone: (501) 228-7171
Fax: (501) 228-5462

The NPI 1215907894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 7/10/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		C8512	ARKANSAS	No
2	208000000X	Pediatrics		G9896	TEXAS	No
3	2080P0206X	Pediatrics	Pediatric Gastroenterology	G9896	TEXAS	No
4	2080P0206X	Pediatrics	Pediatric Gastroenterology	C8512	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5J230	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS
2	C8512	OTHER	ARKANSAS	STATE LICENSE
3	G9896	OTHER	TEXAS	STATE LICENSE
4	E80360	MEDICARE UPIN	ARKANSAS

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

NPI Synchronization or Removal

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