Jerry Douglas Byrum in Little Rock - Pediatrics
Jerry Douglas Byrum - NPI 1194789685
Jerry Douglas Byrum is a Pediatrics in Little Rock, Arkansas. Jerry Douglas Byrum practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jerry Douglas Byrum is 1194789685. The last update date is 2011-11-03.
Jerry Douglas Byrum's current location address is 904 Autumn Rd, Little Rock, Arkansas. You can contact this provider via phone number 5012245437 and fax number 5012243473. The mailing address for Jerry Douglas Byrum is 904 Autumn Rd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Douglas Byrum |
|---|---|
| Address | 904 Autumn Rd, Little Rock, Arkansas |
| Phone Number | 5012245437 |
| Fax Number | 5012243473 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194789685 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 904 Autumn Rd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722113742 |
| Phone Number | 5012245437 |
| Fax Number | 5012243473 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | C6800 |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11282000000 | AR | QUALCHOICE | |
| 114501001 | AR | -- | |
| 4208764 | AR | AETNA | |
| 516264 | AR | HEALTHLINK |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerry Douglas Byrum by the Centers for Medicare & Medicaid Services?
The Jerry Douglas Byrum has been assigned the NPI (National Provider Identifier) 1194789685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jerry Douglas Byrum is geographically located?
The Jerry Douglas Byrum is physically situated at the following location: 904 Autumn Rd, Little Rock, AR, 722113742.
What is the area of specialization for Jerry Douglas Byrum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry Douglas Byrum is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date was the 1194789685 assigned to Jerry Douglas Byrum?
The Jerry Douglas Byrum was issued its 1194789685 on 2006-04-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jerry Douglas Byrum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Douglas Byrum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-03.