NPIMap

Organization Active NPI

Arkansas Health Group

Doing business as All for Kids Pediatric Clinic/A Baptist Health Affiliate

  • Preferred Provider Organization
  • Little Rock, AR
National Provider Identifier
1235192980
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ARKANSAS HEALTH GROUP
Doing business as
All for Kids Pediatric Clinic/A Baptist Health Affiliate
Practice address
904 Autumn Rd
Suite 100
Little Rock, AR 72211-3737
Phone
(501) 224-5437
Fax
(501) 224-3473
NPI assigned
Apr 11, 2006
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mrs. Janet Bailey
Title
Clinic Manager
Phone
(501) 224-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

904 Autumn Rd
Suite 100
Little Rock, AR 72211-3737

Mailing address

904 Autumn Rd
Suite 100
Little Rock, AR 72211-3737
Phone (501) 224-5437

Other identifiers 2

IdentifierTypeStateIssuer
5941546OtherARAETNA
129463002MedicaidAR

Other names 1

  • All for Kids Pediatric Clinic/A Baptist Health Affiliate Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9500 Kanis Rd
Ste 410
Little Rock, AR 72205
Phone (501) 202-1500

5601 John F Kennedy Blvd
Ste 103
North Little Rock, AR 72116

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1235192980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD",
            "address_2": "SUITE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113737",
            "telephone_number": "501-224-5437",
            "fax_number": "501-224-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD",
            "address_2": "SUITE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113737",
            "telephone_number": "501-224-5437",
            "fax_number": "501-224-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "501-224-5437",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5941546",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129463002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All for Kids Pediatric Clinic/A Baptist Health Affiliate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.