FOUR SEASONS ALLERGY AND ASTHMA CLINIC PA (NPI# 1265727259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265727259 |
| Entity Type | Organization |
| Organization Name | FOUR SEASONS ALLERGY AND ASTHMA CLINIC PA |
| Practice Address |
11614 Huron Ln Ste A Little Rock AR 72211-1896 |
| Practice Telephone | 5012211956 |
| Practice Fax Number | 5012192327 |
| Mailing Telephone | 5012211956 |
| Mailing Fax Number | 5012192327 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |
| Authorized Official Name | TERESA RENEE JEFFERS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5012211956 |
| Authorized Official Credential | M D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
E6518 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
11614 HURON LN STE A |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-1896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871717033 | Teresa Renee Jeffers | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-04-12 |
| 1689883019 | Joseph W Matthews, Md, Pa | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834550 | Advanced Allergy and Asthma Physicians Pllc | Allergy & Immunology | 500 S University Ave Ste 215, Little Rock, AR 72205-5304 | 2018-06-12 |
| 1871717033 | Teresa Renee Jeffers | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-04-12 |
| 1619947470 | Joseph William Matthews | Allergy & Immunology | 11614 Huron Ln, Suite A, Little Rock, AR 72211-1834 | 2006-01-25 |
| 1083606156 | Deanna N. Ruddell | Allergy & Immunology | 16101 Cantrell Rd Ste 104, Little Rock, AR 72223-4578 | 2005-08-16 |
| 1689883019 | Joseph W Matthews, Md, Pa | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548530694 | Hedberg Allergy and Asthma Center, Pa | Allergy & Immunology | 1585 E Rain Forest Rd, Fayettteville, AR 72703 | 2012-01-06 |
| 1356317440 | South Ark Ear Nose &throat Clinic P A | Allergy & Immunology | 1722 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-02-27 |
| 1255653192 | Allergy Clinic,p.a. | Allergy & Immunology | 311 E Monroe Ave, Jonesboro, AR 72401-2923 | 2010-02-19 |
| 1790812246 | Adesua Okupa Wejinya | Allergy & Immunology | 700 S 52nd St, Rogers, AR 72758-8605 | 2007-02-28 |
| 1427196807 | William J Bulkley M D P A | Allergy & Immunology | 1000 W Kingshighway, Ste # 3, Paragould, AR 72450-4141 | 2007-02-01 |
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on FOUR SEASONS ALLERGY AND ASTHMA CLINIC PA.
| 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.