NPIMap

Organization Active NPI

Little Rock Children'S Clinic, P.a.

  • Pediatrics Physician
  • Little Rock, AR
National Provider Identifier
1508846189
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LITTLE ROCK CHILDREN'S CLINIC, P.A.
Practice address
9600 Baptist Health Dr
Suite 360
Little Rock, AR 72205-6326
Phone
(501) 227-6727
Fax
(501) 223-9462
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Ms. Susan A Freer
Title
Office Manager
Phone
(501) 537-3141

Specialties & licenses 1

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

Addresses

Primary practice location

9600 Baptist Health Dr
Suite 360
Little Rock, AR 72205-6326

Mailing address

9600 Baptist Health Dr
Suite 360
Little Rock, AR 72205-6326
Phone (501) 227-6727

Other identifiers 1

IdentifierTypeStateIssuer
104443002MedicaidAR

National Provider Directory

National Provider Directory

Locations

9600 Baptist Health Dr
Ste 360
Little Rock, AR 72205
Phone (501) 227-6727

27 Corporate Hill Dr
Ste 100
Little Rock, AR 72205
Phone (501) 227-6727

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1508846189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BAPTIST HEALTH DR",
            "address_2": "SUITE 360",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056326",
            "telephone_number": "501-227-6727",
            "fax_number": "501-223-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BAPTIST HEALTH DR",
            "address_2": "SUITE 360",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056326",
            "telephone_number": "501-227-6727",
            "fax_number": "501-223-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK CHILDREN'S CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "FREER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-537-3141",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "104443002",
            "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 Dec 20, 2011; 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.