THEODORA VANDERZALM MD
NPI 1962592535
Radiology - Pediatric Radiology in Little Rock, AR

Q: What is Theodora Vanderzalm's NPI number?

The NPI number for Theodora Vanderzalm is 1962592535. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Theodora Vanderzalm's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Active since October 13, 2006

800 MARSHALL ST # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theodora Vanderzalm Md NPPES

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

THEODORA VANDERZALM MD (NPI 1962592535) is an individual pediatric radiology provider in Little Rock, Arkansas, licensed in Arkansas (R-4286) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1962592535

Entity TypeIndividualFemale

Primary Taxonomy2085P0229X

Provider Legal NameTHEODORA VANDERZALMCredential: MD

Location Address800 MARSHALL ST # 653Little Rock, AR 72202-3510

Mailing Address800 Marshall St # 653Little Rock, AR 72202-3510 · (501) 364-1100

Phone(501) 364-1100

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 31, 2007

✔ NPI 1962592535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in AR · R-4286

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

800 MARSHALL ST # 653, Little Rock, AR 72202

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Other Identifiers 2

Medicare PIN55297

Medicare UPIND46377

Other Providers at the Same Location NPPES 20

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

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