Anes Wiley Abraham, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R3291 Issued in AR

Practice address

1521 North 10TH St
Suite H
Blytheville, AR 72315

Phone

(870) 763-1700

Fax

(870) 763-2903

NPI assigned

May 17, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anes W. Abraham M.D. P.a.

  dba Pediatric and Teen Medical Center

  • Specialist
  • Blytheville, AR
  • NPI 1053490144
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083667703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 NORTH 10TH ST",
            "address_2": "SUITE H",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "72315",
            "telephone_number": "870-763-1700",
            "fax_number": "870-763-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NORTH 10TH ST",
            "address_2": "SUITE H",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "72315",
            "telephone_number": "870-763-1700",
            "fax_number": "870-763-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "ANES",
        "middle_name": "WILEY",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "R3291",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G4512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Medical Clinic Arkansas LLC
• Caroline Adams
• Corina Adams
• Wanda Adams
• Adult Medicine Clinic of Blytheville, P.C.

• Pediatrics Physician in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.