Individual provider Active NPI

Dirk Thomas Haselow, MD, PHD, MS

  • Pediatrics Physician
  • Sherwood, AR
National Provider Identifier
1679746622
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-6705 Issued in AR
Practice address
9408 Millers Pointe CT
Sherwood, AR 72120-2491
Phone
(501) 442-8149
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-6705 AR Primary

Addresses

Primary practice location

9408 Millers Pointe CT
Sherwood, AR 72120-2491

Mailing address

9408 Millers Pointe CT
Sherwood, AR 72120-2491
Phone (501) 442-8149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000008 AR Practitioner - Pediatric Medicine 0446428817 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E-6705ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Sep 1, 2020 Accepting new patients
Arkansas Health Group CurrentSince Jul 19, 2021 Accepting new patients
Arkansas Childrens Hospital Pediatrics CurrentSince Jul 1, 2011 Accepting new patients
University of Arkansas for Medical Sciences Pediatrics Current Accepting new patients
Arkansas Children's Hospital CurrentSince Jul 1, 2011 Accepting new patients
Arkansas Childrens Professional Services Organization LLC Pediatrics CurrentSince Jul 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2011 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2011 Accepting new patients
Haselow Enterprises LLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

625 United Dr
Ste 410
Conway, AR 72032
Phone (501) 358-6892

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

1 Childrens Way
Ste 653
Little Rock, AR 72202

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

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1 Childrens Way
#664
Little Rock, AR 72202
Phone (501) 364-2505

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

3201 Springhill Dr
Ste 300
North Little Rock, AR 72117
Phone (501) 753-4132

Interoperability endpoints

  • Direct secure messaging: dhaselow218308@direct.baptist-healthar.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1679746622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 MILLERS POINTE CT",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202491",
            "telephone_number": "501-442-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 MILLERS POINTE CT",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202491",
            "telephone_number": "501-442-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELOW",
        "first_name": "DIRK",
        "middle_name": "THOMAS",
        "credential": "MD, PHD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-6705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.