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Contact Information

LITTLE ROCK PEDIATRIC GROUP
500 S UNIVERSITY AVE STE 615
LITTLE ROCK, AR72205-5308
 Phone: 501-664-4044
 Fax: 501-664-4064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LITTLE ROCK PEDIATRIC GROUP

NPI Number 1457396780
LBN Legal business name LITTLE ROCK PEDIATRIC GROUP
Authorized official JO VARNER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 07/05/2022 - About 4 years ago
Identifiers
AR Medicaid 145428002
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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