NPIMap

Organization Active NPI

Arkansas Children's Hospital

Doing business as Arkansas Children's Northwest Physician Services

  • Pediatrics Physician
  • Springdale, AR
National Provider Identifier
1861087637
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ARKANSAS CHILDREN'S HOSPITAL
Doing business as
Arkansas Children's Northwest Physician Services
Practice address
2601 Gene George Blvd
Springdale, AR 72762-0845
Phone
(501) 364-2526
Fax
(501) 364-2438
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Sheryl Phillips
Title
Sr. Billing Manager
Phone
(501) 364-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

2601 Gene George Blvd
Springdale, AR 72762-0845

Mailing address

1 Childrens Way # 664
Little Rock, AR 72202-3500
Phone (501) 364-2526

Other names 1

  • Arkansas Children's Northwest Physician Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2142731Arkansas Children's Northwest2601 Gene George Blvd, Springdale, AR 72762AccreditationApr 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Childrens HSP-ESRD15 organizations share this tax ID, including this one
Part of
Arkansas Childrens HSP-ESRD

Other organizations with this tax ID 14

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

View all 14

Locations

1 Childrens Way
#664
Little Rock, AR 72202
Phone (501) 364-2530

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1861087637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 664",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-2526",
            "fax_number": "501-364-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GENE GEORGE BLVD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620845",
            "telephone_number": "501-364-2526",
            "fax_number": "501-364-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS CHILDREN'S HOSPITAL",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "SR. BILLING MANAGER",
        "authorized_official_telephone_number": "501-364-2526"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Children's Northwest Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.