RUSSELLVILLE PEDIATRIC & ADOLESCENT CLINIC, PA (NPI# 1134637556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134637556 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE PEDIATRIC & ADOLESCENT CLINIC, PA |
| Practice Address |
220 N Sidney Ave Russellville AR 72801-4389 |
| Practice Telephone | 4794980858 |
| Mailing Telephone | 4794980858 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | NEYLON SIGLER PILKINGTON (PARTNER/OWNER) |
| Authorized Official Telephone | 4798572001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
220 N SIDNEY AVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-4389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710267828 | Kristen L Sheppard | Nurse Practitioner | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2011-08-19 |
| 1285145169 | Arkansas Family Care Network | Pediatrics | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2017-10-18 |
| 1427432749 | Mallory Cranor | Nurse Practitioner | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194907394 | Lakeshore Pediatrics of Russellville | Pediatrics | 603 Gandy St Ne, Russellville, AL 35653-1911 | 2007-11-29 |
| 1740246552 | Neylon Pilkington | Pediatrics | 220 N Sidney, Russellville, AR 72801 | 2006-04-21 |
| 1528021474 | Rizk M Abdel Moutagaly | Pediatrics | 715 Gandy St, Russellville, AL 35653 | 2006-04-11 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1285145169 | Arkansas Family Care Network | Pediatrics | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2017-10-18 |
| 1609310358 | Priority Primary Care LLC | Pediatrics | 60 Shelton Ln, Russellville, KY 42276-7203 | 2016-12-15 |
| 1376834994 | Howard Madison Orsburn Iv | Pediatrics | 101 Skyline Dr, Russellville, AR 72801-3363 | 2011-04-30 |
| 1326339557 | Chadwick Jerold Masters | Pediatrics | 101 Skyline Dr, Russellville, AR 72801-3363 | 2011-04-21 |
| 1457553737 | Britney Anne Bertsch | Pediatrics | 1497 Nashville St, Russellville, KY 42276-8850 | 2007-05-31 |
| 1073720868 | Kristen Michelle Nelson | Pediatrics | 101 Skyline Dr, Russellville, AR 72801-3363 | 2007-05-17 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on RUSSELLVILLE PEDIATRIC & ADOLESCENT CLINIC, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.