Provider Type Icon

LITTLE ROCK CHILDREN'S CLINIC P.A. NPI 1508846189


NPI Information

NPI: 1508846189
Provider Name: LITTLE ROCK CHILDREN'S CLINIC, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 04D0980285

Address:
9600 BAPTIST HEALTH DR
SUITE 360
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 227-6727
Get Directions

LITTLE ROCK CHILDREN'S CLINIC, P.A. is a pediatrics in Little Rock, 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. LITTLE ROCK CHILDREN'S CLINIC, P.A. NPI is 1508846189. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9600 BAPTIST HEALTH DR
SUITE 360
LITTLE ROCK, AR
ZIP 72205-326
Phone: (501) 227-6727
Fax: (501) 223-9462

The provider's authorized official is Susan A Freer .
The authorized official title is Office Manager and has the following contact phone number (501) 537-3141.

The CLIA number assigned to this NPI record is 04D0980285 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 12/20/2011.


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
1208000000XPediatricsYes

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
156838MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE/BLUE CROSS GROUP
2104443002MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.