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MARK L MIEDEMA M.D. NPI 1205063211


NPI Information

NPI: 1205063211
Provider Name: MARK L MIEDEMA, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
3317 N WIMBERLY DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-2752
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Mark L Miedema, M.D. is a pain medicine physical medicine rehabilitation in Fayetteville, AR with 15 years of experience. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Mark L Miedema, M.D. NPI is 1205063211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2009

The provider's business location address is:

3317 N WIMBERLY DR
FAYETTEVILLE, AR
ZIP 72703-056
Phone: (479) 521-2752
Fax: (479) 521-4603

The NPI 1205063211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • Nerve transmission studies, 7-8 studies (HCPCS:95910)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)
  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 6/17/2009 and was last updated on 7/12/2021.


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
1207Q00000XFamily Medicine13487FLORIDANo
2208100000XPhysical Medicine & RehabilitationE-9691ARKANSASNo
32081P2900XPhysical Medicine & RehabilitationPain MedicineE-9691ARKANSASYes
42081P2900XPhysical Medicine & RehabilitationPain Medicine49437COLORADONo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.