Provider Demographics
NPI:1124243142
Name:NEEL, SYDNEY LAWADE (MD)
Entity type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:LAWADE
Last Name:NEEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SYDNEY
Other - Middle Name:NEEL
Other - Last Name:SPEIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-686-8586
Practice Address - Street 1:4301 W MARKHAM ST # 783
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-8000
Practice Address - Fax:501-686-8586
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-5607207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5H3656972OtherMEDICARELINKED
AR177558001Medicaid
AR5H3656972OtherMEDICARELINKED