NPIMap

Organization Active NPI

Arkansas Pediatric Clinic, PLLC

  • Pediatrics Physician
  • Little Rock, AR
National Provider Identifier
1851889356
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ARKANSAS PEDIATRIC CLINIC, PLLC
Practice address
16115 Saint Vincent Way Ste 320
Little Rock, AR 72223-3000
Phone
(501) 664-4117
Fax
(501) 664-1137
NPI assigned
Apr 30, 2018
Organization subpart
Yes
Parent organization
ARKANSAS PEDIATRIC CLINIC, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Patricia Parsons
Title
Admin
Phone
(501) 664-4117

Specialties & licenses 1

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

Addresses

Primary practice location

16115 Saint Vincent Way Ste 320
Little Rock, AR 72223-3000

Mailing address

16115 Saint Vincent Way Ste 320
Little Rock, AR 72223-3000
Phone (501) 664-4117

Other practice location 1

1412 Woodland Dr
Bryant, AR 72022-3050
Phone (501) 664-4117

Other practice location 2

11749 Maumelle Blvd
North Little Rock, AR 72113-6558
Phone (501) 664-4117

Other practice location 3

500 S University Ave
Little Rock, AR 72205-5302
Phone (501) 664-4117

Other identifiers 1

IdentifierTypeStateIssuer
226133002MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Pediatric Clinic PLLC4 organizations share this tax ID, including this one
Part of
Arkansas Pediatric Clinic PLLC

Other organizations with this tax ID 3

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

Locations

16115 Saint Vincent Way
Ste 320
Little Rock, AR 72223
Phone (501) 664-4117

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1851889356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233000",
            "telephone_number": "501-664-4117",
            "fax_number": "501-664-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233000",
            "telephone_number": "501-664-4117",
            "fax_number": "501-664-1137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720223050",
            "country_code": "US",
            "telephone_number": "501-664-4117",
            "fax_number": "501-664-1137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11749 Maumelle Blvd",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721136558",
            "country_code": "US",
            "telephone_number": "501-664-4117",
            "fax_number": "501-664-1137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S University Ave",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055302",
            "country_code": "US",
            "telephone_number": "501-664-4117",
            "fax_number": "501-664-1137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKANSAS PEDIATRIC CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS PEDIATRIC CLINIC, PLLC",
        "enumeration_date": "2018-04-30",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "501-664-4117"
    },
    "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": "226133002",
            "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 Jan 24, 2023; 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.