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MAIN STREET MEDICAL
NPI 1356582035
General Practice in Fayetteville, AR

Active since March 10, 2009
2603 MAIN DR, SUITE 6, FAYETTEVILLE, AR 72704(479) 571-4325(479) 571-4329 Get Directions Write a Review

NPPES record last updated: April 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Main Street Medical NPPES

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

MAIN STREET MEDICAL (NPI 1356582035) is a healthcare organization registered as a general practice in Fayetteville, Arkansas and active in the NPI registry since March 2009. The organization lists Scott Fedosky, Physician, as its authorized official.

NPPES Registry Identity

NPI1356582035
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDESIGNING HEALTH PA
Location Address2603 MAIN DR, SUITE 6Fayetteville, AR 72704-5278
Mailing Address2603 Main Dr, Suite 6Fayetteville, AR 72704-5278 · (479) 571-4325 · Fax (479) 571-4329
Phone(479) 571-4325
Fax(479) 571-4329
Organization SubpartNo
Authorized OfficialScott FedoskyPhysician · (479) 571-4325
Enumeration DateMarch 10, 2009
Last NPPES UpdateApril 8, 2014
✔ NPI 1356582035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AR · E0546
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
Also ListedFamily MedicineTaxonomy 207Q00000X · License E2717 (AR)
2603 MAIN DR, Fayetteville, AR 72704
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Other Names 1

Doing Business AsMain Street Medical

Other Identifiers 4

Other5G182AR · Medicare Ptan
Other179094002AR · Designing Health, Pa Medicaid Organizational Number
Other167302001AR · Medicaid Personal Number
Other1710993654Nppes - Individual Npi Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

KIM KEMERY COTA
Occupational Therapy Assistant
2603 MAIN DR, SUITE 3
FAYETTEVILLE, AR 72704
Washington County (479) 856-6400
JENNIFER MASON PTA
Physical Therapy Assistant
2603 MAIN DR, SUITE 3
FAYETTEVILLE, AR 72704
Washington County (479) 856-6400
HARRIS PHYSICAL THERAPY, PLLC
Clinic/Center (Physical Therapy)
2603 MAIN DR, SUITE 3
FAYETTEVILLE, AR 72704
Washington County (479) 966-4883
KIMBERLY GASNER
Physical Therapy Assistant
2603 MAIN DR, SUITE 3
FAYETTEVILLE, AR 72704
Washington County (479) 966-4883

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 Designing Health PA's NPI number?

The NPI number for Designing Health PA is 1356582035. It was assigned to this organization in the NPPES registry on March 10, 2009. The provider is doing business as Main Street Medical.

Where is Designing Health PA located?

Designing Health PA is located at 2603 Main Dr Suite 6, Fayetteville, AR 72704. The listed phone number is (479) 571-4325.

What is Designing Health PA'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 Designing Health PA was last updated on April 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.