Provider Demographics
NPI:1144194028
Name:ROOTED PEDIATRICS LLC
Entity type:Organization
Organization Name:ROOTED PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-749-8127
Mailing Address - Street 1:3125 MONTROSE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:501-302-8300
Practice Address - Street 1:16623 CANTRELL RD STE 1C
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4100
Practice Address - Country:US
Practice Address - Phone:501-749-8127
Practice Address - Fax:501-302-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty