Individual provider Active NPI

Mindy Marie Pomtree, MD

  • Pediatrics Physician
  • Little Rock, AR
National Provider Identifier
1871760629
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-6800 Issued in AR
Practice address
1 Childrens Way
Slot-512-16
Little Rock, AR 72202-3500
Phone
(501) 364-1100
Fax
(501) 364-3480
NPI assigned
May 12, 2008
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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-6800 AR Primary

Addresses

Primary practice location

1 Childrens Way
Slot-512-16
Little Rock, AR 72202-3500

Mailing address

1 Childrens Way
Slot 512-16
Little Rock, AR 72202-3500
Phone (501) 364-1100

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
I20110629000475 AR Practitioner - Pediatric Medicine 5991983538 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-6800ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Pediatrics CurrentSince Jul 1, 2011 Accepting new patients
Arkansas Children's Hospital CurrentSince Jul 1, 2011 Accepting new patients
Arkansas Childrens Hospital Pediatrics CurrentSince Jul 1, 2011 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2011 Accepting new patients
Central Arkansas Pediatric Clinic Past Accepting new patients

Locations

1 Childrens Way
#51216
Little Rock, AR 72202
Phone (501) 364-1050

1 Childrens Way
Ste 653
Little Rock, AR 72202

1 Childrens Way
#854
Little Rock, AR 72202
Phone (501) 364-3810

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

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

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1871760629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "address_2": "SLOT 512-16",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "address_2": "SLOT-512-16",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMTREE",
        "first_name": "MINDY",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-6800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.