DESIGNING HEALTH PA NPI 1356582035

NPI Information

NPI: 1356582035
Provider Name: DESIGNING HEALTH PA
Classification: General Practice - 208D00000X
Entity Type: Organization
Doing Business As: MAIN STREET MEDICAL
Address: 2603 MAIN DR
SUITE 6
FAYETTEVILLE, AR
ZIP 72704
Phone: (479) 571-4325

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NPI Details

DESIGNING HEALTH PA is a general practice in Fayetteville, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DESIGNING HEALTH PA NPI is 1356582035. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Main Street Medical.

The provider's business location address is:

2603 MAIN DR
SUITE 6
FAYETTEVILLE, AR
ZIP 72704-278
Phone: (479) 571-4325
Fax: (479) 571-4329

The provider's authorized official is Scott Fedosky .
The authorized official title is Physician and has the following contact phone number (479) 571-4325.

The enumeration date for this NPI number is 3/10/2009 and was last updated on 4/8/2014.

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	207Q00000X	Family Medicine		E2717	ARKANSAS	No
2	208D00000X	General Practice		E0546	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	5G182	OTHER	ARKANSAS	MEDICARE PTAN
2	179094002	OTHER	ARKANSAS	DESIGNING HEALTH, PA MEDICAID ORGANIZATIONAL NUMBER
3	167302001	OTHER	ARKANSAS	MEDICAID PERSONAL NUMBER
4	1710993654	OTHER		NPPES - INDIVIDUAL NPI NUMBER

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: 11/21/2025

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