TWIN LAKES MEDICAL SPECIALISTS PA NPI 1275584575

NPI Information

  • NPI: 1275584575
  • Provider Name: TWIN LAKES MEDICAL SPECIALISTS, PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 628 HOSPITAL DRIVE GROUND FLOOR
    SUITE A
    MOUNTAIN HOME, AR
    ZIP 72653
  • Phone: (870) 425-4402

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NPI Details

TWIN LAKES MEDICAL SPECIALISTS, PA is a specialist in Mountain Home, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TWIN LAKES MEDICAL SPECIALISTS, PA NPI is 1275584575. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

628 HOSPITAL DRIVE GROUND FLOOR
SUITE A
MOUNTAIN HOME, AR
ZIP 72653-953
Phone: (870) 425-4402
Fax: (870) 425-6811

The provider's authorized official is William S Dyer .
The authorized official title is Secretary/owner and has the following contact phone number (870) 425-4402.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 11/25/2015.

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
1207RG0100XInternal MedicineGastroenterologyNo
22085R0001XRadiologyRadiation OncologyNo
3207RX0202XInternal MedicineMedical OncologyNo
4174400000XSpecialistYes

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
1121749002MEDICAIDARKANSAS
25B019MEDICARE PINARKANSAS

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: 3/30/2025

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