KENDALL STANFORD (NPI# 1700976362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700976362 |
| Entity Type | Individual |
| Full Name | KENDALL STANFORD |
| Credential | MD |
| Practice Address |
800 Marshall St # 653 Little Rock AR 72202-3510 |
| Practice Telephone | 5013641050 |
| Practice Fax Number | 5013646931 |
| Mailing Telephone | 5013641050 |
| Mailing Fax Number | 5013646931 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
E-2363 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 138949001 | 05 |
| Street Address |
800 MARSHALL ST # 653 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126081 | Matthew W. Jaeger | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-09-21 |
| 1649560855 | Ama Serwa Karikari | Student in an Organized Health Care Education/Training Program | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2011-04-10 |
| 1184939308 | Samah Mashhour Awad | Student in an Organized Health Care Education/Training Program | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2010-08-12 |
| 1639497084 | Bradford Thomas Schneider | Emergency Medicine | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2010-05-10 |
| 1861710550 | Sarah Colleen Bone | Student in an Organized Health Care Education/Training Program | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2010-05-05 |
| 1003133828 | Amber Michele Morse | Student in an Organized Health Care Education/Training Program | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2010-05-03 |
| 1093949117 | Lisa Credo | Specialist | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2009-05-04 |
| 1891961363 | Michael W White | Anesthesiology | 800 Marshall St # 653, Division of Pediatric Anesthesiology, Little Rock, AR 72202-3510 | 2008-05-05 |
| 1235204140 | Elton Cleveland | Family Medicine | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-11-24 |
| 1720159502 | Donald Mock | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-11-13 |
| 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 KENDALL STANFORD.
| 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.