THE PEDIATRIC CLINIC OF NLR, P.A. (NPI# 1588692198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588692198 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC CLINIC OF NLR, P.A. |
| Other Organization Name | THE PEDIATRIC CLINIC |
| Practice Address |
3401 Springhill Dr Ste 245 North Little Rock AR 72117-2926 |
| Practice Telephone | 5017581530 |
| Practice Fax Number | 5017585371 |
| Mailing Telephone | 5017581530 |
| Mailing Fax Number | 5017585371 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT B CHOATE JR. (OWNER/PARTNER) |
| Authorized Official Telephone | 5017581530 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUCROSS BLUSHIELD AR | 56918 | 01 |
| Other Name | Type Code |
|---|---|
| The Pediatric Clinic | Doing Business As Name - Organization |
| Street Address |
3401 SPRINGHILL DR STE 245 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184101099 | Lindsay Simpson | Nurse Practitioner | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2018-07-24 |
| 1609295922 | Holly Ann Montgomery | Pediatrics | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2014-04-15 |
| 1578806899 | Laura Ann Bradney | Surgery | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2013-04-04 |
| 1427314640 | William Robert Still IIi | Pediatrics | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2012-04-02 |
| 1275751513 | Matthew Vincent Hadley | Nurse Practitioner | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117 | 2007-04-23 |
| 1518985753 | Bishawn Watson Morris | Pediatrics | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2006-07-17 |
| 1497785935 | Robert B Choate Jr. | Pediatrics | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1366450421 | Rehab and Pain Managment Clinic Inc. | Clinic/Center | 1201, Fleming Ave., Health South Rehablitation Hospital of Jonesboro, Jonesboro, AR 72403 | 2006-08-04 |
| 1952318099 | Prime Medical Imaging, A Division of Radiologists, P.a. | Clinic/Center | 320 S 9th St, Van Buren, AR 72956-5826 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.