WALDRON PLACE PEDIATRIC CLINIC, INC (NPI# 1013047356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013047356 |
| Entity Type | Organization |
| Organization Name | WALDRON PLACE PEDIATRIC CLINIC, INC |
| Practice Address |
1501 S Waldron Rd Ste 202 Fort Smith AR 72903-2598 |
| Practice Telephone | 4794528311 |
| Practice Fax Number | 4794525032 |
| Mailing Telephone | 4794528311 |
| Mailing Fax Number | 4794525032 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FEDERICO CARLOS DE MIRANDA (OWNER) |
| Authorized Official Telephone | 4794528311 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | C-5393 | AR | Ambulatory Health Care Facilities |
| Street Address |
1501 S WALDRON RD STE 202 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932252699 | Clinical Neuroscience Associates, Inc. | Nurse Practitioner | 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903-2598 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982715074 | Little Rock Spine & Joint Clinic | Clinic/Center | 1401 South J. Street, Fort Smith, AR 72901-5158 | 2006-08-31 |
| 1609898311 | Cooper Clinic Pa | Clinic/Center | 7306 Rogers Ave, Fort Smith, AR 72903-4164 | 2006-07-24 |
| 1740201474 | Cooper Clinic, Pa | Clinic/Center | 9101 Jenny Lind Rd, Fort Smith, AR 72908-9142 | 2006-07-21 |
| 1467493825 | River Valley Pediatrics LLC | Clinic/Center | 1513 Jenny Lind Rd, Fort Smith, AR 72901-5646 | 2006-06-09 |
| 1215489604 | Nassri Pediatrics and Pulmonology, LLC | Clinic/Center | 9207 Highway 71 S, Suite 9, Fort Smith, AR 72916-9117 | 2016-11-01 |
| 1932586260 | Arkansas Liver and Gastroenterology Pa | Clinic/Center | 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | 2015-05-06 |
| 1033528518 | Dr Bill Keating, Od Pa | Clinic/Center | 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903-5236 | 2014-08-08 |
| 1982028668 | Achieve Center for Therapy, Pllc | Clinic/Center | 2900 Old Greenwood Rd, Suite I, Fort Smith, AR 72903-4550 | 2014-02-14 |
| 1801172937 | Amy L Plunkett Dnp Apn Pllc | Clinic/Center | 2713 S 74th St Ste 301, Mercy Tower, Fort Smith, AR 72903-5155 | 2011-11-03 |
| 1336337336 | Imwell Health | Clinic/Center | 616 S 17th St, Fort Smith, AR 72901-4700 | 2007-10-04 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on WALDRON PLACE PEDIATRIC CLINIC, INC.
| 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.