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PEDIATRIX MEDICAL GROUP OF ARKANSAS PA NPI 1780781492


NPI Information

NPI: 1780781492
Provider Name: PEDIATRIX MEDICAL GROUP OF ARKANSAS PA

Doing Business As: PEDIATRIX MEDICAL GROUP OF NEBRASKA

Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
9601 INTERSTATE 630
LITTLE ROCK, AR
ZIP 72205
Phone: (877) 737-4546
Get Directions

PEDIATRIX MEDICAL GROUP OF ARKANSAS PA is a neonatal-perinatal medicine pediatrics in Little Rock, AR. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. PEDIATRIX MEDICAL GROUP OF ARKANSAS PA NPI is 1780781492. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatrix Medical Group Of Nebraska.

The provider's business location address is:

9601 INTERSTATE 630
LITTLE ROCK, AR
ZIP 72205-202
Phone: (877) 737-4546

The provider's authorized official is Jorge I. Del Toro .
The authorized official title is President/director and has the following contact phone number (800) 243-3839.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 7/9/2021.


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
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
22080N0001XPediatricsNeonatal-Perinatal MedicineYes
3363LN0000XNurse PractitionerNeonatalNo

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
1133312002MEDICAIDARKANSAS

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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