Paragould Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PARAGOULD PEDIATRICS, PLLC

Practice address

4000 Linwood Dr
Suite H
Paragould, AR 72450-7223

Phone

(870) 236-7337

Fax

(870) 236-7332

NPI assigned

Aug 20, 2007

Last updated

Sep 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Michele Wenger, MDNPI 1437217593

Title

Member

Phone

(870) 236-7337

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Locations

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.

• Kristina Michele Wenger, MD

  • Pediatrics Physician
  • Paragould, AR
  • NPI 1437217593
  NPD (past) Authorized official
• Sara Jane Brown, CPNP

  • Pediatric Nurse Practitioner
  • Paragould, AR
  • NPI 1386152163
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1881887255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DR",
            "address_2": "SUITE H",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507223",
            "telephone_number": "870-236-7337",
            "fax_number": "870-236-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DR",
            "address_2": "SUITE H",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507223",
            "telephone_number": "870-236-7337",
            "fax_number": "870-236-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGOULD PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "870-236-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "165537002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5F839",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paragould Family Care, P. a.
• Paragould Family Vision PLLC (Progressive Eye Center of Paragould)
• Paragould GH Operations LLC (Belle Meade, a Rehabilitation and Resident Care Facility)
• Paragould Obstetrics and Gynecology, PLLC
• Paragould Pathology PA, Daps PA
• Paragould Pharmacy Inc
• Paragould Radiology PA
• Paragould School District
• Paragould Therapies, PLC
• Paragould Urology

• Pediatrics Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.