GLENWOOD PEDIATRICS PLLC (NPI# 1285254193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285254193 |
| Entity Type | Organization |
| Organization Name | GLENWOOD PEDIATRICS PLLC |
| Practice Address |
408 N 1st St Ste C Glenwood AR 71943-9252 |
| Practice Telephone | 8703562288 |
| Mailing Telephone | 8703561556 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | LOREN DEPUTY (OWNER) |
| Authorized Official Telephone | 8703561556 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
408 N 1ST ST STE C |
| City | GLENWOOD |
| State | AR |
| Zip Code | 71943-9252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467969824 | Tiffany Elizabeth White | Counselor | 6 Amanda Lane, Glenwood, AR 71943 | 2018-01-08 |
| 1235586801 | Jessica Dobyns | Student in an Organized Health Care Education/Training Program | 167 S Spur 8, Glenwood, AR 71943 | 2016-05-24 |
| 1376903906 | Silver Linings, LLC | Skilled Nursing Facility | 615 Mt View Rd, Glenwood, AR 71943 | 2016-02-24 |
| 1356755771 | Ttj, Inc | Physical Therapist | 204 East Broadway, Glenwood, AR 71943 | 2014-06-13 |
| 1902946668 | Phils Pharmacy Inc | Pharmacy | 253 Hwy 70 Wast, Glenwood, AR 71943 | 2007-02-08 |
| 1073676359 | Carl S Plyler | Dentist | 119 Elm St, Glenwood, AR 71943 | 2006-12-18 |
| 1578571220 | T.k. Hutson Enterprises, LLC | Chiropractor | 400 East Broadway, Suite B, Glenwood, AR 71943 | 2006-08-04 |
| 1306831839 | Emergency Medical Transport | Ambulance | 115 N 3rd St, Glenwood, AR 71943 | 2005-09-12 |
| 1710040092 | Roderick J Parker | Dentist | 119 Elm St, Glenwood, AR 71943 | 2006-12-18 |
| 1760892665 | Mistie Hill | Counselor | 1923 Davis Drive, Glenwood, AR 71943-0907 | 2014-04-30 |
| Find all providers in zip 71943 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467984799 | Loren Deputy | Pediatrics | 408 N 1st St, Glenwood, AR 71943-9250 | 2017-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757630 | Kaylah Charles | Pediatrics | 36 Melinda Dr, Little Rock, AR 72209-3341 | 2020-10-12 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1164909081 | Mena Pediatric Center, Pllc | Pediatrics | 900 Highway 71 N, Mena, AR 71953-4304 | 2018-07-24 |
| 1073006680 | Ezgi Saylam | Pediatrics | 15515 Capitol Hill Blvd Apt 616, Little Rock, AR 72223-7212 | 2018-06-08 |
| 1851889356 | Arkansas Pediatric Clinic, Pllc | Pediatrics | 16115 Saint Vincent Way Ste 320, Little Rock, AR 72223-3000 | 2018-04-30 |
| 1417461500 | Dr Albert Obiozo Pediatrics Inc | Pediatrics | 161 Fawnwood Cir, El Dorado, AR 71730-8633 | 2017-11-28 |
| 1417478074 | Brave Pediatric Therapy, Inc. | Pediatrics | 13798 Mace Rd, Danville, AR 72833-6770 | 2017-07-04 |
| 1023540275 | David James Pennington | Pediatrics | 2850 Twin Rivers Dr # 102, Arkadelphia, AR 71923-4212 | 2017-03-28 |
| Find all providers with the same taxonomy | ||||
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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.