KIDS EL MELBOURNE (NPI# 1265955512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265955512 |
| Entity Type | Organization |
| Organization Name | KIDS EL MELBOURNE |
| Practice Address |
889 East Main Melbourne AR 72556 |
| Mailing Address |
Po Box 967 Melbourne AR 72556 |
| Practice Telephone | 8703684586 |
| Practice Fax Number | 8703684587 |
| Mailing Telephone | 8703684586 |
| Mailing Fax Number | 8703684587 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | DEBBIE COLEMAN (OWNER) |
| Authorized Official Telephone | 8703684586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians |
| Street Address |
889 EAST MAIN |
| City | MELBOURNE |
| State | AR |
| Zip Code | 72556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1467988725 | Anita Love | Case Manager/Care Coordinator | 637 Esat Main St, Melbourne, AR 72556 | 2017-05-05 |
| 1558729236 | Regan Tharp | Developmental Therapist | 889 E. Main, Melbourne, AR 72556 | 2016-02-09 |
| 1740693274 | Richard Thomas Keefer | Social Worker | 637 East Main St, Melbourne, AR 72556 | 2014-06-02 |
| 1164858437 | Mary Grice Duncan | Pharmacist | 600 N. Main Street, Suite C, Melbourne, AR 72556 | 2013-09-18 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| 1255605499 | Gassville Therapy & Living Center, Inc. | Skilled Nursing Facility | 600 North Main Suite A, Melbourne, AR 72556 | 2012-03-06 |
| Find all providers in zip 72556 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] 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 |
|---|---|---|---|---|
| 1881675643 | Joseph A Cimino | Pediatrics | 8045 Spyglass Hill Rd, Ste 105, Melbourne, FL 32940-8567 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427030295 | Jerie Beth Karkos | Pediatrics | 519 Latham Dr, Lowell, AR 72745-8360 | 2005-11-17 |
| 1942845995 | April Dawn Schrader | Pediatrics | 4100 Heritage Dr, North Little Rock, AR 72117-2522 | 2019-11-14 |
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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.