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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DECLERK FAMILY MEDICINE, PLLC
NPI 1366354938
Family Medicine in Rogers, AR

Active since September 18, 2026
4305 S PLEASANT CROSSING BLVD STE 103, ROGERS, AR 72758(479) 302-1020 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Declerk Family Medicine, Pllc NPPES

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

DECLERK FAMILY MEDICINE, PLLC (NPI 1366354938) is a healthcare organization registered as a family medicine in Rogers, Arkansas and active in the NPI registry since September 2026. The organization lists George Ryan Declerk, Manager, as its authorized official.

NPPES Registry Identity

NPI1366354938
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDECLERK FAMILY MEDICINE, PLLC
Location Address4305 S PLEASANT CROSSING BLVD STE 103Rogers, AR 72758-1347
Mailing Address2261 N Center StGentry, AR 72734-6022 · (479) 422-3647
Phone(479) 302-1020
Organization SubpartNo
Authorized OfficialGeorge Ryan DeclerkManager · (479) 422-3647
Enumeration DateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
✔ NPI 1366354938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4305 S PLEASANT CROSSING BLVD STE 103, Rogers, AR 72758
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

GLOMAR MEDICAL NWA PLLC
Family Medicine
4305 S PLEASANT CROSSING BLVD STE 103
ROGERS, AR 72758
Benton County (800) 511-2747

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 Declerk Family Medicine, PLLC's NPI number?

The NPI number for Declerk Family Medicine, PLLC is 1366354938. It was assigned to this organization in the NPPES registry on September 18, 2026.

Where is Declerk Family Medicine, PLLC located?

Declerk Family Medicine, PLLC is located at 4305 S Pleasant Crossing Blvd Ste 103, Rogers, AR 72758. The listed phone number is (479) 302-1020.

What is Declerk Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Declerk Family Medicine, PLLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.