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NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES NPI 1154435923


NPI Information

NPI: 1154435923
Provider Name: NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES

Doing Business As: REGIONAL KIDNEY CENTER FAYETTEVILLE DIALYSIS

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
509 E MILLSAP RD
SUITE 111
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 443-6688
Get Directions

NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES is a nephrology internal medicine in Fayetteville, AR. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES NPI is 1154435923. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regional Kidney Center Fayetteville Dialysis.

The provider's business location address is:

509 E MILLSAP RD
SUITE 111
FAYETTEVILLE, AR
ZIP 72703-067
Phone: (479) 443-6688
Fax: (479) 527-9917

The provider's authorized official is Fred Smardo .
The authorized official title is Doctor Owner and has the following contact phone number (479) 443-6688.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 12/27/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyE2362ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112539OTHERARKANSASBCBS
2G28542MEDICARE UPINARKANSAS
3042539MEDICARE OSCAR/CERTIFICATIONARKANSAS

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

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