SUSAN M. AVERITT MD – NPI #1356304091
Pediatrics

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.

SUSAN AVERITT is a physician located in SPRINGDALE, AR. NPPES has assigned the NPI number 1356304091 to SUSAN AVERITT on April 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN AVERITT below.

NPI Profile for
SUSAN M. AVERITT

NPI Number
1356304091
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN M. AVERITT
Credentials
MD
Primary location
5501 WILLOW CREEK DR. STE 203
SPRINGDALE, AR 72762
Phone: (479) 575-9359 Fax: (479) 575-9415
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSAN AVERITT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERCHAMPUS (WPS)OK74502A050
OTHERPALMETTO DMEOK1324230001
OTHERSOONER PCPOK200016780A
OTHERSTERLING OPTION 1OKH14901
OTHERTRICARE SOUTHOK731310891028
MEDICAIDAR140067001
MEDICAIDMO1356304091
MEDICAIDOK200016780A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
OK 23620

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.