NPIMap

Organization Active NPI

University of Arkansas for Medical Sciences

Doing business as Childrens University Medical Group

  • Pediatrics Physician
  • Little Rock, AR
National Provider Identifier
1346230968
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Doing business as
Childrens University Medical Group
Practice address
333 Executive CT
Little Rock, AR 72205-4550
Phone
(501) 526-8760
NPI assigned
Oct 25, 2005
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Amanda George
Title
Vice Chancellor for Finance & Cfo
Phone
(501) 686-5670

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Emergency Medicine Physician 207P00000X NU
Ophthalmology Physician 207W00000X NU
Pediatric Otolaryngology Physician 207YP0228X NU
Pediatrics Physician 208000000X NU Primary
Neonatal-Perinatal Medicine Physician 2080N0001X NU
Pediatric Cardiology Physician 2080P0202X NU
Pediatric Critical Care Medicine Physician 2080P0203X NU
Pediatric Hematology & Oncology Physician 2080P0207X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Diagnostic Radiology Physician 2085R0202X NU
Pediatric Surgery Physician 2086S0120X NU
Pediatric Orthopaedic Surgery Physician 207XP3100X NU
Pediatric Urology Physician 2088P0231X NU

Addresses

Primary practice location

333 Executive CT
Little Rock, AR 72205-4550

Mailing address

4301 W Markham St # 521
Little Rock, AR 72205-7101
Phone (501) 364-1100

Other identifiers 1

IdentifierTypeStateIssuer
105180002MedicaidAR

Other names 2

  • Childrens University Medical Group Doing business as
  • Children's University Medical Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000431 AR Part B Supplier - Clinic/Group Practice 4082528955 Receives reassigned benefits from 1,297 practitioners
5 other NPIs on this enrollment
Practice locations: Little Rock, AR

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Raymond Bredfeldt MD

Locations

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

333 Executive Ct
Little Rock, AR 72205
Phone (501) 526-8700

4301 W Markham St
#521
Little Rock, AR 72205

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uams Medical CenterLittle Rock, AR, CCN 040016 Hospital Operational/Managerial Control (100%) Dec 1, 2021
Uams Health - Home HealthSearcy, AR, CCN 047057 Home health agency 5% Or Greater Direct Ownership Interest (49%) Dec 1, 2022

Practitioners & affiliated clinicians

Practitioners 1,341

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.

View all 1,341

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1346230968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 521",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-364-1100",
            "fax_number": "501-526-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EXECUTIVE CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054550",
            "telephone_number": "501-526-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE CHANCELLOR FOR FINANCE & CFO",
        "authorized_official_telephone_number": "501-686-5670"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105180002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens University Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's University Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.