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Contact Information

PEDIATRIX MEDICAL GROUP OF ARKANSAS PA
9601 INTERSTATE 630
LITTLE ROCK, AR72205-7202
 Phone: 877-737-4546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Neonatal

363LN0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PEDIATRIX MEDICAL GROUP OF ARKANSAS PA

NPI # 1780781492
LBN Legal business name PEDIATRIX MEDICAL GROUP OF ARKANSAS PA
Authorized official JORGE DEL TORO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2006
Last updated 11/05/2024 - More than a year ago
Identifiers
AR Medicaid 133312002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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