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ARKANSAS CHILDREN'S MEDICAL GROUP PLLC NPI 1396274841


NPI Information

NPI: 1396274841
Provider Name: ARKANSAS CHILDREN'S MEDICAL GROUP PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1 CHILDRENS WAY # 844
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-2090
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ARKANSAS CHILDREN'S MEDICAL GROUP PLLC 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. ARKANSAS CHILDREN'S MEDICAL GROUP PLLC NPI is 1396274841. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 CHILDRENS WAY # 844
LITTLE ROCK, AR
ZIP 72202-500
Phone: (501) 364-2090
Fax: (501) 364-3929

The provider's authorized official is Robert S Williams .
The authorized official title is President and has the following contact phone number (501) 364-2090.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 10/23/2019.


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 MedicineNo
22080P0205XPediatricsPediatric EndocrinologyNo
32080P0207XPediatricsPediatric Hematology-OncologyNo
4208000000XPediatricsYes

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
15E311OTHERARKANSASBLUE CROSS AND BLUE SHIELD
2222588002MEDICAIDARKANSAS

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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