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ARKANSAS PEDIATRICS OF CONWAY PA NPI 1477516417


NPI Information

NPI: 1477516417
Provider Name: ARKANSAS PEDIATRICS OF CONWAY, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 04D0913091

Address:
2710 COLLEGE AVE
CONWAY, AR
ZIP 72034
Phone: (501) 329-1800
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ARKANSAS PEDIATRICS OF CONWAY, PA is a pediatrics in Conway, 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. ARKANSAS PEDIATRICS OF CONWAY, PA NPI is 1477516417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2710 COLLEGE AVE
CONWAY, AR
ZIP 72034-141
Phone: (501) 329-1800
Fax: (501) 329-2507

The provider's authorized official is Donna M. Strickland .
The authorized official title is Office Manager and has the following contact phone number (501) 329-1800.

The CLIA number assigned to this NPI record is 04D0913091 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 10/7/2021.


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
1208000000XPediatricsMC1605ARKANSASYes

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
1127536002MEDICAIDARKANSAS

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: 11/14/2023

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