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WALDRON PLACE PEDIATRIC CLINIC, INC
NPI 1013047356
Clinic/Center in Fort Smith, AR

Active since March 06, 2007
1501 S WALDRON RD STE 202, FORT SMITH, AR 72903(479) 452-8311(479) 452-5032 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waldron Place Pediatric Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALDRON PLACE PEDIATRIC CLINIC, INC (NPI 1013047356) is a healthcare organization registered as a clinic/center in Fort Smith, Arkansas and active in the NPI registry since March 2007. The organization lists Federico Carlos De Miranda, Owner, as its authorized official.

NPPES Registry Identity

NPI1013047356
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWALDRON PLACE PEDIATRIC CLINIC, INC
Location Address1501 S WALDRON RD STE 202Fort Smith, AR 72903-2598
Mailing Address1501 S Waldron Rd Ste 202Fort Smith, AR 72903-2598 · (479) 452-8311 · Fax (479) 452-5032
Phone(479) 452-8311
Fax(479) 452-5032
Organization SubpartNo
Authorized OfficialFederico Carlos De MirandaOwner · (479) 452-8311
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013047356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AR · C-5393
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1501 S WALDRON RD STE 202, Fort Smith, AR 72903
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
1501 S WALDRON RD STE 202
FORT SMITH, AR 72903
Sebastian County (479) 755-6900
CLINICAL NEUROSCIENCE ASSOCIATES, INC.
Nurse Practitioner
1501 S WALDRON RD STE 202
FORT SMITH, AR 72903
Sebastian County (479) 434-2743
KAREN LYNN WILLIAMS NP
Nurse Practitioner (Family)
1501 S WALDRON RD STE 202
FORT SMITH, AR 72903
Sebastian County (479) 755-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waldron Place Pediatric Clinic, Inc's NPI number?

The NPI number for Waldron Place Pediatric Clinic, Inc is 1013047356. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Waldron Place Pediatric Clinic, Inc located?

Waldron Place Pediatric Clinic, Inc is located at 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903. The listed phone number is (479) 452-8311.

What is Waldron Place Pediatric Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Waldron Place Pediatric Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.