Susan M Averitt
MD | Pediatrics | Female
Susan M Averitt, MD is a Springdale, Arkansas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Susan M Averitt is
5501 Willow Creek Dr. Ste 203, Springdale, Arkansas - 72762. She can be contacted on phone at
479-575-9359 and fax number 479-575-9415.
Susan M Averitt is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan M Averitt is
1356304091 which was assigned by NPPES on 11 Apr, 2006 and it was last updated on 21 Jul, 2022.
Susan M Averitt license number is
E2459 for Pediatrics (208000000X) in Arkansas.
Susan M Averitt is a pediatrician who 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.
Complete Profile:
Susan M Averitt basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Susan M Averitt |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Susan M Averitt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5501 Willow Creek Dr. Ste 203
Springdale, AR, 72762
United States |
|---|
| Phone Number : | 479-575-9359 |
|---|
| Fax Number : | 479-575-9415 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356304091 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 11 Apr, 2006 |
|---|
| Last Updated On : | 21 Jul, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan M Averitt are as mentioned. Primary taxonomy code for Susan M Averitt, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 23620 | OK |
| 208000000X | Pediatrics | Yes | E2459 | AR |
Legacy Identifiers:
Other legacy medical identifiers of Susan M Averitt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200016780A | Other | OK | SOONER PCP |
| H14901 | Other | OK | STERLING OPTION 1 |
| 1356304091 | MEDICAID | MO | |
| 1324230001 | Other | OK | PALMETTO DME |
| 140067001 | MEDICAID | AR | |
| 731310891028 | Other | OK | TRICARE SOUTH |
| 74502A050 | Other | OK | CHAMPUS (WPS) |
| 200016780A | MEDICAID | OK | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5501 Willow Creek Dr. Ste 203
Springdale, AR, 72762
United States |
|---|
| Phone Number : | 479-757-8099 |
|---|
Business Location:
Patients can refer following map for directions to
Susan M Averitt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.