Active NPI
Ronald C Sanders Jr., MD
- Pediatric Critical Care Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- E-1318
- Practice address
- 1 Childrens Way # 512-12
Little Rock, AR 72202-3500 - Phone
- (501) 364-4166
- Fax
- (501) 364-3188
- NPI assigned
- Aug 16, 2006
- Last updated
- Dec 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME87124 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | E-1318 | AR | Primary |
Addresses
Primary practice location
1 Childrens Way # 512-12
Little Rock, AR 72202-3500
Mailing address
1 Childrens Way # 512-12
Little Rock, AR 72202-3500
Phone (501) 364-4166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172777001 | Medicaid | AR | |
| 263955600 | Medicaid | FL |
Other names 1
- Ronald Cary Sanders Jr.
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87124 | FL | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Pediatric Critical Care Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Children's Hospital | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Current | Accepting new patients | |
| Arkansas Childrens Professional Services Organization LLC | Current | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#51212
Little Rock, AR 72202
Phone (501) 364-1846
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Ste 653
Little Rock, AR 72202
Organizations & group practices 6
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.
-
dba ACH Physicians Billing Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1629889464
-
dba Childrens University Medical Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
Pediatric Critical Care Medicine
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
dba Schmieding Developmental Center
- Developmental - Behavioral Pediatrics Physician
- Lowell, AR
- NPI 1407021280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1891808713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 512-12",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-4166",
"fax_number": "501-364-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 512-12",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-4166",
"fax_number": "501-364-3188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "RONALD",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME87124",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "AR",
"license": "E-1318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172777001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263955600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RONALD",
"last_name": "SANDERS",
"middle_name": "CARY",
"suffix": "JR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.