TYRA REID (NPI# 1710077375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710077375 |
| Entity Type | Individual |
| Full Name | TYRA REID |
| Credential | MD |
| Practice Address |
800 Marshall St # 653 Little Rock AR 72202-3510 |
| Practice Telephone | 5013641100 |
| Mailing Telephone | 5013641100 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
C-5571 | AR | Allopathic & Osteopathic Physicians |
| 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 | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] 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 |
|---|---|---|---|---|
| 1942377379 | University of Arkansas for Medical Sciences | Pediatrics | 1221 Bishop St, Little Rock, AR 72202 | 2006-11-29 |
| 1760557649 | University of Arkansas for Medical Sciences | Pediatrics | 1612 Maryland Ave, Little Rock, AR 72202 | 2006-11-23 |
| 1770822652 | Disability Treatment Centers of Arkansas | Pediatrics | 11524 N Rodney Parham Rd, Suite 8b, Little Rock, AR 72212-4187 | 2013-02-12 |
| 1750620639 | Disability Service Centers of Arkansas | Pediatrics | 11524 N Rodney Parham Rd, Suite 8b, Little Rock, AR 72212-4187 | 2013-02-12 |
| 1467746339 | Paulette Ann Wong Wy | Pediatrics | 1301 Wolfe St, Little Rock, AR 72202-5320 | 2011-06-08 |
| 1912073008 | University of Arkansas for Medical Sciences | Pediatrics | 1919 W 12th St, Little Rock, AR 72202 | 2006-11-28 |
| 1205910221 | Patrick Casey | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-25 |
| 1801986468 | Edmond Ashcraft | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1760572325 | Julie May-wewers | Pediatrics | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| 1316037815 | Charles Feild | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 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 TYRA REID.
| 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.