Glenwood Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GLENWOOD PEDIATRICS PLLC

Practice address

408 N 1St St Ste C
Glenwood, AR 71943-9252

Phone

(870) 356-2288

NPI assigned

Apr 21, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loren Deputy, MDNPI 1467984799

Title

Owner

Phone

(870) 356-1556

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Loren Deputy

  • Pediatrics Physician
  • Glenwood, AR
  • NPI 1467984799
  NPD Authorized official

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1285254193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N 1ST ST STE C",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439252",
            "telephone_number": "870-356-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N 1ST ST STE C",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439252",
            "telephone_number": "870-356-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "DEPUTY",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-356-1556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenwood Health and Rehab
• Glenwood Health and Rehabilitation LLC
• Glenwood Healthcare LLC
• Glenwood Holdings LLC (Glenwood Health and Rehab)
• Glenwood Nursing Home
• Glenwood Physical Therapy Center, Inc.
• Kaley Ann Golden, PT, DPT
• Guardianems
• Kayci Halcombe, QBHP
• Alyssa Hallett

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.