DR. MARK G PICKHARDT MD NPI 1144275413

NPI Information

NPI: 1144275413
Provider Name: DR. MARK G PICKHARDT, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
3302 N NORTHHILLS BLVD
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 582-3366
Get Directions

DR. Mark G Pickhardt, MD is a gynecology obstetrics gynecology in Fayetteville, AR. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Mark G Pickhardt, MD NPI is 1144275413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3302 N NORTHHILLS BLVD
FAYETTEVILLE, AR
ZIP 72703-008
Phone: (479) 582-3366
Fax: (479) 571-6572

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		C7319	ARKANSAS	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	C-7319	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54558	OTHER	ARKANSAS	BLUE
2	119159001	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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