MENA PEDIATRIC CENTER, PLLC (NPI# 1164909081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164909081 |
| Entity Type | Organization |
| Organization Name | MENA PEDIATRIC CENTER, PLLC |
| Practice Address |
900 Highway 71 N Mena AR 71953-4304 |
| Practice Telephone | 4793945439 |
| Mailing Telephone | 4793945439 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | ALISSA M GRANT (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4793945439 |
| 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 |
900 HIGHWAY 71 N |
| City | MENA |
| State | AR |
| Zip Code | 71953-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166623 | Joshua Daniel Sirkis | Physical Therapist | 500 Crestwood Circle Suite G, Mena, AR 71953 | 2019-10-28 |
| 1841639960 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 134 S George, Mt Ida, AR 71953 | 2013-06-21 |
| 1922326586 | Boone Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 803-a Highway 71 North, Mena, AR 71953 | 2010-05-06 |
| 1841529112 | Chad Hill | Hearing Instrument Specialist | 601 W Hwy 71 N, Mena, AR 71953 | 2009-12-16 |
| 1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1629291455 | Jennifer Rowland | Occupational Therapist | 1801 Hamilton Avenue, Mena, AR 71953 | 2007-04-10 |
| 1093886822 | Alina Mielnick | Urology | 601 Bd Hwy 71 N, Mena, AR 71953 | 2006-11-13 |
| 1821195256 | Robert Martin Cohen | Psychiatry & Neurology | 311 North Morrow Street, Mena, AR 71953 | 2006-09-20 |
| 1730284357 | Sidney H Simpson | Chiropractor | 1402-b Hwy 71 S, Mena, AR 71953 | 2006-09-14 |
| Find all providers in zip 71953 | ||||
| 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 |
|---|---|---|---|---|
| 1487629317 | Ronald William Beckel Jr. | Pediatrics | 1102 Crestwood Cir, Mena, AR 71953-5513 | 2006-02-22 |
| 1003473463 | Mena Hospital Commission | Pediatrics | 1103 College Dr, Mena, AR 71953-2519 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757630 | Kaylah Charles | Pediatrics | 36 Melinda Dr, Little Rock, AR 72209-3341 | 2020-10-12 |
| 1285254193 | Glenwood Pediatrics Pllc | Pediatrics | 408 N 1st St Ste C, Glenwood, AR 71943-9252 | 2020-04-21 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1073006680 | Ezgi Saylam | Pediatrics | 15515 Capitol Hill Blvd Apt 616, Little Rock, AR 72223-7212 | 2018-06-08 |
| 1851889356 | Arkansas Pediatric Clinic, Pllc | Pediatrics | 16115 Saint Vincent Way Ste 320, Little Rock, AR 72223-3000 | 2018-04-30 |
| 1417461500 | Dr Albert Obiozo Pediatrics Inc | Pediatrics | 161 Fawnwood Cir, El Dorado, AR 71730-8633 | 2017-11-28 |
| 1417478074 | Brave Pediatric Therapy, Inc. | Pediatrics | 13798 Mace Rd, Danville, AR 72833-6770 | 2017-07-04 |
| 1023540275 | David James Pennington | Pediatrics | 2850 Twin Rivers Dr # 102, Arkadelphia, AR 71923-4212 | 2017-03-28 |
| Find all providers with the same taxonomy | ||||
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| 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.