AHEC FAYETTEVILLE PEDIATRIC CLINIC
NPI 1417110230
Family Medicine in Fayetteville, AR

Q: What is University Of Arkansas For Medical Sciences's specialty?

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

Active since July 02, 2008

1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 521-8269(479) 443-3903 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ahec Fayetteville Pediatric Clinic NPPES

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

AHEC FAYETTEVILLE PEDIATRIC CLINIC (NPI 1417110230) is a healthcare organization registered as a family medicine in Fayetteville, Arkansas and active in the NPI registry since July 2008. The organization lists B J Roberts, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1417110230

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908

Mailing Address1125 N College AveFayetteville, AR 72703-1908 · (479) 521-8269 · Fax (479) 443-3903

Phone(479) 521-8269

Fax(479) 443-3903

Organization SubpartNo

Authorized OfficialB J RobertsChief Financial Officer · (479) 521-8269

Enumeration DateJuly 2, 2008

Last NPPES UpdateJanuary 28, 2010

✔ NPI 1417110230 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.

1125 N COLLEGE AVE, Fayetteville, AR 72703

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Other Names 1

Doing Business AsAhec Fayetteville Pediatric Clinic

Other Identifiers 4

Other770033568AR · Ar Breast Care

Medicaid170583069AR

Other56997AR · Ar Bcbs

Medicare PIN56997AR

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 20

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

GRACE WOOD

Student in an Organized Health Care Education/Training Program