National Provider Identifier Database

SUSAN M AVERITT, MD – NPI #1356304091
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

SUSAN M AVERITT, MD
5501 WILLOW CREEK DR. STE 203
SPRINGDALE, AR72762
Phone: 479-575-9359
Fax: 479-575-9415
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SUSAN M AVERITT

NPI Number 1356304091
Credentials MD
Entity Individual
Enumeration date 04/11/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • AR License #: E2459
  • OK License #: 23620
  • AR Medicaid: 140067001
  • MO Medicaid: 1356304091
  • OK Medicaid: 200016780A
  • OK Other: 74502A050 CHAMPUS (WPS)
  • OK Other: 1324230001 PALMETTO DME
  • OK Other: 200016780A SOONER PCP
  • OK Other: H14901 STERLING OPTION 1
  • OK Other: 731310891028 TRICARE SOUTH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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