Active NPI
Pediatrix Medical Group of Arkansas PA
- Neonatal-Perinatal Medicine Physician
- Little Rock, AR
National Provider Identifier
1780781492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- PEDIATRIX MEDICAL GROUP OF ARKANSAS PA
- Doing business as
- Pediatrix Medical Group of Nebraska
- Practice address
- 9601 Interstate 630
Little Rock, AR 72205-7202 - Phone
- (877) 737-4546
- NPI assigned
- Sep 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jorge I. Del Toro, M.D.
- Title
- President
- Phone
- (800) 243-3839
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary | ||
| Neonatal Nurse Practitioner | 363LN0000X |
Addresses
Primary practice location
9601 Interstate 630
Little Rock, AR 72205-7202
Mailing address
1500 Concord Ter
Sunrise, FL 33323-2815
Phone (800) 243-3839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133312002 | Medicaid | AR |
Other names 1
- Pediatrix Medical Group of Nebraska
National Provider Directory
National Provider DirectoryLocations
7710 Mercy Rd
Ste 117
Omaha, NE 68124
Phone (402) 398-6103
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Critical Care Medicine Physician
- Sunrise, FL
- NPI 1609825637
-
- Maternal & Fetal Medicine Physician
- Tripler AMC, HI
- NPI 1548246184
-
- Maternal & Fetal Medicine Physician
- Omaha, NE
- NPI 1982049029
-
- Maternal & Fetal Medicine Physician
- Minneapolis, MN
- NPI 1588626436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1780781492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232815",
"telephone_number": "800-243-3839",
"fax_number": "844-686-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 INTERSTATE 630",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057202",
"telephone_number": "877-737-4546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIX MEDICAL GROUP OF ARKANSAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "DEL TORO",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-243-3839",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Neonatal",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133312002",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatrix Medical Group of Nebraska",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pediatrix Medical Group of Nebraska",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.