Samuel Smith
Pediatric Surgery
1 Childrens Way # 653
Little Rock
, Arkansas 72202-3500
Samuel Smith
Pediatric Surgery
1 Childrens Way # 653
Little Rock
, Arkansas 72202-3500
(501) 364-4082
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Samuel Smith
- Po Box 251418
- Little Rock, AR
- Zip : 72225-1418
- Fax : (501) 364-4082
- Phone : (501) 364-1100
Second Address
- Samuel Smith
- 1 Childrens Way # 653
- Little Rock, AR
- Zip : 72202-3500
- Fax : (501) 364-4082
- Phone : (501) 364-1100
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | C-5848 | AR |
National Provider Identifier
| NPI | 1124118799 |
|---|---|
| Provider Name | Samuel Smith |
| First Address | Little Rock, AR 72225-1418 |
| Second Address | Little Rock, AR 72202-3500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 06/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 020033263 | RAILROAD MEDICARE (01) | AR |
| 12039000000 | QUALCHOICE (01) | AR |
| 121199001 | (05) | AR |
| 55251 | BLUE CROSS BLUE SHIELD (01) | AR |
| C32949 | (02) | |
| C5848 | TRICARE (01) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.