Susan M Averitt is a Pediatrics in Springdale, Arkansas. Susan M Averitt practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan M Averitt is 1356304091. The last update date is 2022-07-21.
Susan M Averitt's current location address is 5501 Willow Creek Dr. Ste 203, Springdale, Arkansas. You can contact this provider via phone number 4797578099. The mailing address for Susan M Averitt is 5501 Willow Creek Dr. Ste 203, Springdale, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Averitt |
|---|---|
| Address | 5501 Willow Creek Dr. Ste 203, Springdale, Arkansas |
| Phone Number | 4797578099 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356304091 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 5501 Willow Creek Dr. Ste 203 |
|---|---|
| City | Springdale |
| State | Arkansas (AR) |
| Post Code | 72762 |
| Phone Number | 4797578099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 23620 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1324230001 | OK | PALMETTO DME | |
| 1356304091 | MO | -- | |
| 74502A050 | OK | CHAMPUS (WPS) | |
| H14901 | OK | STERLING OPTION 1 | |
| 200016780A | OK | -- | |
| 731310891028 | OK | TRICARE SOUTH | |
| 200016780A | OK | SOONER PCP | |
| 140067001 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan M Averitt by the Centers for Medicare & Medicaid Services?
The Susan M Averitt has been assigned the NPI (National Provider Identifier) 1356304091 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan M Averitt?
The Susan M Averitt is situated at 5501 Willow Creek Dr. Ste 203, in the city of Springdale, state of AR, with the zip code 72762.
What is Susan M Averitt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan M Averitt is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Susan M Averitt receive its 1356304091 assignment from the Centers for Medicare & Medicaid Services?
The Susan M Averitt was assigned its 1356304091 by the Centers for Medicare & Medicaid Services on 2006-04-11.
When was the information regarding Susan M Averitt most recently updated?
The details pertaining to the Susan M Averitt, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.