DR. HESSEL KOOISTRA III M.D.
NPI 1053754622
General Practice in Fayetteville, AR

Active since April 12, 2013
10971 ROCKY CREEK RD, FAYETTEVILLE, AR 72701(479) 841-2736 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Hessel Kooistra Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HESSEL KOOISTRA III M.D. (NPI 1053754622) is an individual general practice provider in Fayetteville, Arkansas, licensed in Arkansas (E-2570) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1053754622
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. HESSEL KOOISTRA IIICredential: M.D.
Location Address10971 ROCKY CREEK RDFayetteville, AR 72701-0614
Mailing Address10975 Rocky Creek RdFayetteville, AR 72701-0614 · (479) 841-2736
Sole ProprietorYes
Enumeration DateApril 12, 2013
NPI 1053754622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in AR · E-2570
Definition

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

10971 ROCKY CREEK RD, Fayetteville, AR 72701

Other Identifiers 3

Medicare PIN00516J
MedicaidP000516J3TX
Medicare UPING98249

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
10971 ROCKY CREEK RD
FAYETTEVILLE, AR 72701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hessel Kooistra's NPI number?

The NPI number for Hessel Kooistra is 1053754622. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Hessel Kooistra located?

Hessel Kooistra practices at 10971 Rocky Creek Rd, Fayetteville, AR 72701. The listed phone number is (479) 841-2736.

What is Hessel Kooistra's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Hessel Kooistra was last updated on April 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.