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

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: July 19, 2026.

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.

LINDA A MCGHEE M.D.
Family Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
JOANNA M THOMAS M.D.
Family Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
INA KING APN
Nurse Practitioner
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
MOSES KIMARI OTR
Occupational Therapist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (501) 230-9726
JANET K MONTGOMERY SLP
Speech-Language Pathologist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (870) 217-1373
DR. ROBERT R GULLETT JR. M.D.
Orthopaedic Surgery
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
REGENCY HOSPITAL
General Acute Care Hospital
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-7000
ACADEMIC PHYSICIANS SPECIALTY LLC
Internal Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 684-5191

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 University Of Arkansas For Medical Sciences's NPI number?

The NPI number for University Of Arkansas For Medical Sciences is 1417110230. It was assigned to this organization in the NPPES registry on July 2, 2008.

Where is University Of Arkansas For Medical Sciences located?

University Of Arkansas For Medical Sciences is located at 1125 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 521-8269.

What is University Of Arkansas For Medical Sciences'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 University Of Arkansas For Medical Sciences was last updated on January 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.