Pediatric Associates of West Memphis, PLC
Organization Active NPI Clinic/Center · West Memphis, AR
NPI 1407966005 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1407966005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- PEDIATRIC ASSOCIATES OF WEST MEMPHIS, PLC
- Practice address
- 108 W Tyler
West Memphis, AR 72301-4221 - Phone
- (870) 732-1191
- Fax
- (870) 732-4091
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Judy Catt
- Title
- Practice Manager
- Phone
- (870) 732-1191
Corporate family (same tax ID) 1
Practitioners 16
-
Laura Margaret Ballard, APRN
-
Wellesley Fitzhugh, APRN
-
Stacy Carmen Reschke, FNP-C
-
Yousef Shaddood, MD
-
Haley Ann Webb, APRN
-
Marcia J Arogyaswamy, APRN
-
Wendy Bourland, D.O.
-
Evelyn Hudson, APRN
-
Abigail Bounds Kaiser, PA-C
-
Amer M Kechli, MD
-
Thu Thi Nguyen, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0467679 | Pediatric Associates of West Memphis | Compliance | Jul 30, 2026 |
National Provider Directory
- Tax ID family
- Pediatric Asscs of W MPHS
Locations
108 W Tyler Ave
West Memphis, AR 72301
Phone (870) 732-1191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Clinic/Center | 261Q00000X | AR | Yes |
Addresses
Primary practice location
108 W Tyler
West Memphis, AR 72301-4221
Mailing address
108 W Tyler
West Memphis, AR 72301-4221
Phone (870) 732-1191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152363002 | Medicaid | AR |
Other providers in West Memphis, AR
- Chad Parsons
- Jennifer Parsons
- Krishna Harikushna Patel
- Shital Patel
- Morgan Elizabeth Patterson
- Pediatric Dentistry of Eastern Arkansas
- Anita Peel
- Tamara Pelkey
- Adrian Perry
- Andrew Peters
All providers in West Memphis, AR · Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.