NPIMap

Organization Active NPI

Arkansas Pediatric Clinic, PLLC

  • Pediatrics Physician
  • Little Rock, AR
National Provider Identifier
1366471195
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ARKANSAS PEDIATRIC CLINIC, PLLC
Practice address
500 S University Ave Ste 317
Little Rock, AR 72205-5342
Phone
(501) 664-4117
Fax
(501) 664-1137
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Patricia Parsons
Title
Admin
Phone
(501) 664-4117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

500 S University Ave Ste 317
Little Rock, AR 72205-5342

Mailing address

16115 Saint Vincent Way Ste 320
Little Rock, AR 72223-3000
Phone (501) 664-4117

Other identifiers 1

IdentifierTypeStateIssuer
148500002MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Pediatric Clinic PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23157 Interstate 30 S
Bryant, AR 72022
Phone (501) 315-0136

500 S University Ave
Ste 200
Little Rock, AR 72205
Phone (501) 661-0308

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1366471195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233000",
            "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 STE 317",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055342",
            "telephone_number": "501-664-4117",
            "fax_number": "501-664-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS PEDIATRIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "501-664-4117"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148500002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 18, 2021; 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.