BENTONVILLE PEDIATRICS - NPI 1356319164 - Pediatrics in Bentonville, AR

Q: What is Bentonville Pediatrics's NPI number?

The NPI number for Bentonville Pediatrics is 1356319164. It was assigned to this organization in the NPPES registry on March 8, 2006.

Q: What is Bentonville Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Bentonville Pediatrics NPPES

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

BENTONVILLE PEDIATRICS (NPI 1356319164) is a healthcare organization registered as a pediatrics in Bentonville, Arkansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Jason B Foster, Owner, as its authorized official.

NPPES Registry Identity

NPI1356319164

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBENTONVILLE PEDIATRICS

Location Address2719 SE I STBentonville, AR 72712-3996

Mailing AddressPo Box 9178Russellville, AR 72811-9178 · (479) 968-4273 · Fax (479) 968-1363

Phone(479) 273-5437

Fax(479) 273-9932

Organization SubpartNo

Authorized OfficialJason B FosterOwner · (479) 273-5437

Enumeration DateMarch 8, 2006

Last NPPES UpdateOctober 11, 2024

✔ NPI 1356319164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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 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.

2719 SE I ST, Bentonville, AR 72712

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Other Identifiers 2

Other5C844AR · Ark. Bcbs

Medicaid146796002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D1002649

Bentonville Pediatrics · Bentonville, AR

Active · expires Aug 11, 2026

CLIA Number04D1002649

Laboratory TypePhysician Office

Certificate Effective DateAugust 12, 2024

Certificate Expiration DateAugust 11, 2026

Laboratory DirectorDr. Jason Foster

Laboratory Phone(479) 273-5437

Laboratory LocationBentonville Pediatrics2719 SE I St, Bentonville, AR 72712

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

GRACE UNDERHILL SOLMS CPNP-PC

Nurse Practitioner (Pediatrics)