Arkansas Children's Medical Group PLLC

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

ARKANSAS CHILDREN'S MEDICAL GROUP PLLC

Doing business as

Arkansas Children's Northwest-Clinic

Practice address

900 S 52ND St Ste 200
Rogers, AR 72758-8640

Phone

(479) 254-1100

Fax

(479) 254-2997

NPI assigned

Jun 28, 2022

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

ARKANSAS CHILDREN'S MEDICAL GROUP PLLCAs reported in NPPES

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

Authorized official

Name

Robert S. Williams, MDNPI 1740369263

Title

President

Phone

(501) 364-2090

Specialties & licenses 1

Addresses

Other names 2

• Arkansas Children's Northwest-Clinic Doing business as
• NW Harvey Primary Care Clinic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Arkansas Childrens Medical3 organizations share this tax ID, including this one

Part of

Arkansas Childrens Medical

Other organizations with this tax ID 2

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

• Arkansas Children's Medical Group PLLC

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1396274841
  NPD tax ID
• Arkansas Children's Medical Group, PLLC

  • Pediatric Dentistry
  • Little Rock, AR
  • NPI 1376237701
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Arkansas Children's Medical Group PLLC

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1396274841
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert S. Williams, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Springdale, AR
  • NPI 1740369263
  Authorized official Same address or phone
• David M Blaske, PHD

  • Psychologist
  • Jonesboro, AR
  • NPI 1790733947
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1740912799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 844",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-2090",
            "fax_number": "501-364-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 52ND ST STE 200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588640",
            "telephone_number": "479-254-1100",
            "fax_number": "479-254-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Way # 844",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722023500",
            "country_code": "US",
            "telephone_number": "501-364-2090",
            "fax_number": "501-364-3929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKANSAS CHILDREN'S MEDICAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS CHILDREN'S MEDICAL GROUP PLLC",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-364-2090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Children's Northwest-Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NW Harvey Primary Care Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kacey Churchwell Apple, APRN
• Katherine Dixie Arce
• Imanni Nicole Arellano
• Katie Argueta, LAC
• Arkansas Attachment & Counseling (Susan D. Walker)
• Arkansas CVS Pharmacy LLC (CVS Pharmacy #17544)
• Arkansas CVS Pharmacy, LLC (CVS Pharmacy # 10816)
• Arkansas Dental Professionals, Mongrain, P.a. (Artistic Smiles)
• Arkansas Medical Imaging JV LLC
• Arkansas Orthopaedic Hand Center, P.a.

• Developmental - Behavioral Pediatrics Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Developmental - Behavioral Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.