Jack T Fendley in North Little Rock - Family Medicine
Jack T Fendley - NPI 1821074592
Jack T Fendley is a Family Medicine in North Little Rock, Arkansas. Jack T Fendley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack T Fendley is 1821074592. The last update date is 2018-03-23.
Jack T Fendley's current location address is 3500 Springhill Dr Ste 100, North Little Rock, Arkansas. You can contact this provider via phone number 5019555589 and fax number 5019555960. The mailing address for Jack T Fendley is 3500 Springhill Dr Ste 100, North Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack T Fendley |
|---|---|
| Address | 3500 Springhill Dr Ste 100, North Little Rock, Arkansas |
| Phone Number | 5019555589 |
| Fax Number | 5019555960 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821074592 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2018-03-23 |
Provider Mailing Address Detail
| Address | 3500 Springhill Dr Ste 100 |
|---|---|
| City | North Little Rock |
| State | Arkansas (AR) |
| Post Code | 721172949 |
| Phone Number | 5019555589 |
| Fax Number | 5019555960 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | C4596 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 420289 | AR | UNITED HEALTHCARE ID | |
| 110190362 | AR | RR MCARE PROVIDER ID | |
| 11306000000 | AR | QUALCHOICE PROVIDER ID | |
| 106701001 | AR | -- | |
| 4234056 | AR | AETNA PROVIDER ID |
Post Comment/ Review Below
What is the unique identifier code issued to Jack T Fendley by the Centers for Medicare & Medicaid Services (CMS)?
The Jack T Fendley has been assigned the NPI (National Provider Identifier) 1821074592. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Jack T Fendley's specialty and taxonomy code?
The Jack T Fendley's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
What is the area of specialization for Jack T Fendley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack T Fendley is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When was the Jack T Fendley's 1821074592 issued?
The Jack T Fendley's 1821074592 was issued on 2005-12-15.
When was the information pertaining to Jack T Fendley most recently updated or revised?
The details related to Jack T Fendley, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-23.
NPI Number: 1962405878
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