Scott Mitchell Sanders, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-1901 Issued in AR

Practice address

500 S University Ave
Suite 200
Little Rock, AR 72205-5302

Phone

(501) 664-4117

Fax

(501) 664-1137

NPI assigned

Mar 17, 2006

Last updated

Oct 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23326/brand/1/csg/1/fhir/r4
• Direct secure messaging: scott.sanders.1@23326.direct.athenahealth.com

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.

• Baptist Medcare, Inc

  dba Little Rock Emergency Doctors Group

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1699868323
  Medicare reassignment NPD
• Arkansas Pediatric Clinic, PLLC

  • Pediatrics Physician
  • Bryant, AR
  • NPI 1073917274
  NPD (past)
• Arkansas Pediatric Clinic, PLLC

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1366471195
  NPD (past)
• Arkansas Pediatric Clinic, PLLC

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1851889356
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1306815626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S. UNIVERSITY",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-664-4117",
            "fax_number": "501-664-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-4117",
            "fax_number": "501-664-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SCOTT",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134303001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Sanders
• Raeshun Sanders
• Riley N Sanders, MD
• Ronald C Sanders Jr., MD
• Sara C Sanders, M.D.
• Shelia Denise Sanders, LMSW
• Marvin Bruce Sanderson, M.D.
• Adam Thomas Sandlin, M.D.
• Kimberley Sandlin, MHPP
• Lucas C Sandlin, LPC

• Pediatrics Physician in Little Rock, AR
• Providers in Little Rock, 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 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.