DR. AMIR HOSSEIN PEZESHKMEHR (NPI# 1215101894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215101894 |
Entity Type | Individual |
Full Name | DR. AMIR HOSSEIN PEZESHKMEHR |
Credential | M.D. |
Practice Address |
1 Childrens Way # 653 Little Rock AR 72202 |
Mailing Address |
1 Childrens Way # 653 Little Rock AR 72202-3500 |
Practice Telephone | 5013641000 |
Practice Fax Number | 5013644082 |
Mailing Telephone | 5013641000 |
Mailing Fax Number | 5013644082 |
Enumeration Date | 2008-04-15 |
Last Update Date | 2018-08-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R8645 | TX | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
E-8292 | AR | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
R8645 | TX | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
E-8292 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 210182001 | 05 |
Street Address |
1 CHILDRENS WAY # 653 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346235611 | Jessica R Snowden | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202 | 2005-09-13 |
1922620095 | Megan Elise Cole | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-05-12 |
1174156624 | Pamela Denise Royal | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-02-12 |
1245718576 | Sateesh Jayappa | Radiology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-07-30 |
1427546720 | Shelby Jordyn Earnest-hastings | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202 | 2018-04-23 |
1730687450 | Mary Lynne Shults | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-28 |
1871001859 | Jennifer Lynn Livingston | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-12 |
1487168282 | Ryland Walt Steele | Physician Assistant | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2017-12-01 |
1225556632 | Paige Fenner | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202 | 2017-09-06 |
1902337280 | Julish Selvy | Registered Nurse | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2017-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
Find all providers in zip 72202 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144853821 | Resort Radiology, Pllc | Radiology | 13107 Colonel Glenn Rd, Little Rock, AR 72210-2319 | 2020-02-20 |
1164713061 | Jackson Mott Farrow | Radiology | 1115 W 3rd St, Little Rock, AR 72201-2007 | 2011-04-26 |
1366733404 | Steven Matthew Wright | Radiology | 17310 Lamarche Blvd, Little Rock, AR 72223-9125 | 2011-04-24 |
1477888204 | Raja Shaikh | Radiology | 4301 W Markham St Dept Of, Slot #556,university of Arkansas for Meidcal Sciences, Little Rock, AR 72205-7101 | 2009-10-13 |
1205066859 | Peter Lindley | Radiology | 9708 Overby Ct, Little Rock, AR 72205-1514 | 2009-07-16 |
1992947204 | Charles Drew Sessions | Radiology | 14 Lorna Dr, Little Rock, AR 72205-2533 | 2009-04-01 |
1619143914 | Frederick Dwayne Johnson Jr. | Radiology | 5 Woods Cv, Little Rock, AR 72210-9108 | 2008-05-06 |
1538341391 | Seark Radiology Pa | Radiology | 19 Hickory Hills Cir, Ste 2c, Little Rock, AR 72212-2766 | 2007-12-03 |
1821282971 | Asima Yousaf | Radiology | 2015 Wellington Plantation Dr, Little Rock, AR 72211-2093 | 2007-08-31 |
1467674606 | Kalyani Vallurupalli | Radiology | 11 Hoggards Rdg, Little Rock, AR 72211-3795 | 2007-05-03 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72202 |
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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.