ELIZABETH STORM (NPI# 1568562106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568562106 |
| Entity Type | Individual |
| Full Name | ELIZABETH STORM |
| Credential | MD |
| Practice Address |
800 Marshall St Ach #653 Little Rock AR 72202-3510 |
| Practice Telephone | 5013641100 |
| Practice Fax Number | 5016031436 |
| Mailing Telephone | 5013641100 |
| Mailing Fax Number | 5013643480 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2010-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
E-4880 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | QUALCHOICE | 06070018100 | 01 |
| AR | 162854001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466463 | Elizabeth Storm | Nurse Practitioner | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-01-16 |
| 1811219405 | Elizabeth Jane Storm | Counselor | 2777 Ventura Ave, Mental Health, Santa Rosa, CA 95403-2226 | 2010-02-23 |
| 1700919792 | Elizabeth Clare Storm | Occupational Therapist | 235 Myrtle St, Manchester, NH 03104-4314 | 2007-03-13 |
| Street Address |
800 MARSHALL ST ACH #653 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407808611 | Dale Alicia Ellison | Pathology | 800 Marshall St, Little Rock, AR 72202-3510 | 2006-05-16 |
| 1346510583 | Emily Robbins | Social Worker | 800 Marshall St, Suite 653, Little Rock, AR 72202-3510 | 2012-01-05 |
| 1679726855 | Regina Diane Atkins | Registered Nurse | 800 Marshall St, Slot 900, Little Rock, AR 72202-3510 | 2008-10-31 |
| 1669625208 | Bonnie B Limbird | Social Worker | 800 Marshall St, Slot 900, Little Rock, AR 72202-3510 | 2008-10-28 |
| 1265685119 | Stacy Marcotte | Specialist | 800 Marshall St, Slot 900, Little Rock, AR 72202-3510 | 2008-10-23 |
| 1619120565 | Debra Butler | Specialist | 800 Marshall St, Slot 900, Little Rock, AR 72202-3510 | 2008-10-23 |
| 1508018474 | University of Arkansas for Medical Sciences | Dietitian, Registered | 800 Marshall St, #900, Little Rock, AR 72202-3510 | 2008-10-22 |
| 1679725543 | University of Arkansas for Medical Sciences | Dietitian, Registered | 800 Marshall St, Slot 900, Little Rock, AR 72202-3510 | 2008-10-22 |
| 1326290230 | Kimberly M Jablonski | Dietitian, Registered | 800 Marshall St, Little Rock, AR 72202-3510 | 2008-10-22 |
| 1689826596 | Lana D Davis | Developmental Therapist | 800 Marshall St, Slot 900, Little Rock, AR 72202-3510 | 2008-10-22 |
| 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 | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657653 | Omar Salem | Pediatrics | #1 Childrens Way, Slot 512-19a, Little Rock, AR 72202 | 2015-04-16 |
| 1619994761 | Lawrence S Quang | Pediatrics | 1 Childrens Way # 512-16, Little Rock, AR 72202-3500 | 2006-07-16 |
| 1396274841 | Arkansas Children's Medical Group Pllc | Pediatrics | 1 Childrens Way # 844, Little Rock, AR 72202-3500 | 2017-06-08 |
| 1477996619 | Maxwell Douglas Taylor | Pediatrics | 4301 W Markham St, Little Rock, AR 72205-7101 | 2013-04-08 |
| 1639497241 | Jeffrey Montgomery | Pediatrics | 1 Childrens Way, Slot # 653, Little Rock, AR 72202-3500 | 2010-05-06 |
| 1801015144 | Nicholas W. Hobart-porter | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2007-04-25 |
| 1487744041 | Henry Farrar | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1447340005 | Charles Graham | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1356431910 | Laura James | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1083704647 | Rebecca Schexnayder | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on ELIZABETH STORM.
| 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.