SUSAN M AVERITT (NPI# 1356304091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356304091 |
| Entity Type | Individual |
| Full Name | SUSAN M AVERITT |
| Credential | MD |
| Practice Address |
5501 Willow Creek Dr. Ste 203 Springdale AR 72762 |
| Practice Telephone | 4795759359 |
| Practice Fax Number | 4795759415 |
| Mailing Telephone | (479) 757-8099 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2017-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | E2459 | AR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 23620 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1356304091 | 05 | |
| OK | SOONER PCP | 200016780A | 01 |
| OK | TRICARE SOUTH | 731310891028 | 01 |
| OK | PALMETTO DME | 1324230001 | 01 |
| AR | 140067001 | 05 | |
| OK | STERLING OPTION 1 | H14901 | 01 |
| OK | CHAMPUS (WPS) | 74502A050 | 01 |
| OK | 200016780A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174051288 | Susan Averitt | Occupational Therapist | 9745 Olympia Dr, Fishers, IN 46037-9226 | 2017-06-02 |
| Street Address |
5501 WILLOW CREEK DR. STE 203 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558614008 | Megan Michelle Kumpe | Nurse Practitioner | 5501 Willow Creek Dr. Ste 203, Springdale, AR 72762 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| 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 |
|---|---|---|---|---|
| 1831532175 | Moriah Elaine Kramer | Pediatrics | 2101 Bluebird Dr, Springdale, AR 72764-5727 | 2013-04-16 |
| 1629335955 | April Shanel Durham | Pediatrics | 3057 Springdale Ave, Springdale, AR 72762-4346 | 2012-04-11 |
| 1528002649 | Mark Lovell | Pediatrics | 6636 W Sunset Ave Ste A, Springdale, AR 72762-0971 | 2006-06-16 |
| 1821031295 | Elizabeth Froman | Pediatrics | 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762-0876 | 2006-06-14 |
| 1811985302 | Perry Lee Wilbur | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2005-10-10 |
| 1699273839 | Justin Neal Morgan | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2018-01-23 |
| 1114305901 | Sara Reed | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2015-05-12 |
| 1285053272 | Sarah Jeffreys | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2014-04-08 |
| 1811315310 | Rachel A Mckelvy | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2014-04-01 |
| 1447699806 | Juan Diego Mejia Otero | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2013-06-19 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on SUSAN M AVERITT.
| 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.