University of Arkansas for Medical Sciences
Organization Active NPI Developmental - Behavioral Pediatrics Physician · Newport, AR
NPI 1558437814 · NPPES record last updated Jun 8, 2018
Key facts
- NPI
- 1558437814
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental - Behavioral Pediatrics Physician 2080P0006X
- Legal business name
- UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- Practice address
- 2105 Malcolm Ave
Suite 109
Newport, AR 72112 - Phone
- (501) 686-8000
- Fax
- (501) 526-6562
- NPI assigned
- Nov 28, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Authorized official
- Name
- Amanda D George
- Title
- Associate VC for Clinical Finance
- Phone
- (501) 686-6633
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Karen Atkin
- Part of
- Karen Atkin
Locations
2105 Malcolm Ave
Ste 109
Newport, AR 72112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician |
2080P0006X | Yes |
Addresses
Primary practice location
2105 Malcolm Ave
Suite 109
Newport, AR 72112
Mailing address
2105 Malcolm Ave
Suite 109
Newport, AR 72112-3631
Phone (501) 686-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136317724 | Medicaid | AR |
Other names
- Kids First Newport
Other providers in Newport, AR
- Unity Health - Newport
- Unity Health - Newport
- Unity Health - Newport
- Unity Health - Newport
- Unity Health - Newport
- USA Drug & Beauty Market Franchising Systems, Inc.
- Jennifer Ussery
- Troy Larry Vincent Sr.
- Wade Falwell, M.D.,P.a.
- Jessica Wade
All providers in Newport, AR · Developmental - Behavioral Pediatrics Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.