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ELIZABETH STORM MD NPI 1568562106


NPI Information

NPI: 1568562106
Provider Name: ELIZABETH STORM, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
800 MARSHALL ST
ACH #653
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-1100
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Elizabeth Storm, MD is a pediatric emergency medicine pediatrics in Little Rock, AR. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Elizabeth Storm, MD NPI is 1568562106. 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:

800 MARSHALL ST
ACH #653
LITTLE ROCK, AR
ZIP 72202-510
Phone: (501) 364-1100
Fax: (501) 603-1436

The NPI 1568562106 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 9/24/2006 and was last updated on 3/8/2010.


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
12080P0204XPediatricsPediatric Emergency MedicineE-4880ARKANSASYes

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
1162854001MEDICAIDARKANSAS
2I65959MEDICARE UPINARKANSAS
35N575MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
406070018100OTHERARKANSASQUALCHOICE

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.