ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA (NPI# 1699741033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699741033 |
| Entity Type | Organization |
| Organization Name | ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA |
| Practice Address |
2850 Twin Rivers Dr Arkadelphia AR 71923-4212 |
| Practice Telephone | 8702468036 |
| Practice Fax Number | 8702467164 |
| Mailing Telephone | 8702468036 |
| Mailing Fax Number | 8702467164 |
| Enumeration Date | 2006-02-26 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | DR. WESLEY KLUCK (PRESIDENT) |
| Authorized Official Telephone | 8702468036 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MC-1864 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095133 | Arkadelphia Clinic for Children and Young Adults, Pa | Clinic/Center | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2019-10-24 |
| Street Address |
2850 TWIN RIVERS DR |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764896 | Robert Anthony Dorman | Internal Medicine | 2850 Twin Rivers Dr, Suite 101-a, Arkadelphia, AR 71923-4212 | 2005-07-19 |
| 1467095133 | Arkadelphia Clinic for Children and Young Adults, Pa | Clinic/Center | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2019-10-24 |
| 1184007734 | Alexandra Warner | Nurse Practitioner | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2015-07-01 |
| 1972579316 | Gari M Rucker | Pediatrics | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2006-02-26 |
| 1881660223 | Joan E Kyle | Pediatrics | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2006-02-26 |
| 1508837485 | Carl Wesley Kluck | Pediatrics | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2006-01-30 |
| 1366437808 | Sharon Hayes | Nurse Practitioner | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| 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 |
|---|---|---|---|---|
| 1023540275 | David James Pennington | Pediatrics | 2850 Twin Rivers Dr # 102, Arkadelphia, AR 71923-4212 | 2017-03-28 |
| 1609364173 | Ouachita Baptist University | Pediatrics | 410 Ouachita St, Arkadelphia, AR 71998-0001 | 2018-04-30 |
| 1972579316 | Gari M Rucker | Pediatrics | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2006-02-26 |
| 1881660223 | Joan E Kyle | Pediatrics | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2006-02-26 |
| 1508837485 | Carl Wesley Kluck | Pediatrics | 2850 Twin Rivers Dr, Arkadelphia, AR 71923-4212 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757630 | Kaylah Charles | Pediatrics | 36 Melinda Dr, Little Rock, AR 72209-3341 | 2020-10-12 |
| 1285254193 | Glenwood Pediatrics Pllc | Pediatrics | 408 N 1st St Ste C, Glenwood, AR 71943-9252 | 2020-04-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
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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.