Great River Pediatric Clinic
NPI 1467586131 · Pediatrics Physician · Blytheville, AR
Great River Pediatric Clinic is a Pediatrics Physician organization in Blytheville, AR (NPI 1467586131).
Provider details
- NPI number
- 1467586131
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Asafo-Boakye, Pediatrician(870) 780-6832
- License
- E-4133 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Great River Pediatric Clinic's NPI number?
- Great River Pediatric Clinic's National Provider Identifier (NPI) is 1467586131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great River Pediatric Clinic?
- Great River Pediatric Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Great River Pediatric Clinic located?
- Great River Pediatric Clinic's practice location on file with NPPES is 1521 N 10th St, Blytheville, AR 72315-1405.
- What is Great River Pediatric Clinic's phone number?
- The practice phone number listed in the NPPES registry for Great River Pediatric Clinic is (870) 780-6832.
- Who is the authorized official for Great River Pediatric Clinic?
- The authorized official listed on Great River Pediatric Clinic's NPPES record is Benjamin Asafo-Boakye, Pediatrician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great River Pediatric Clinic's NPI active?
- Yes — Great River Pediatric Clinic's NPI (1467586131) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.