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TWIN LAKES PHYSICIAN GROUP PA
NPI 1710291752
General Practice in Mountain Home, AR

Active since August 02, 2010
17 MEDICAL PLAZA, MOUNTAIN HOME, AR 72653(870) 425-6212(870) 508-6896 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Twin Lakes Physician Group Pa NPPES

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

TWIN LAKES PHYSICIAN GROUP PA (NPI 1710291752) is a healthcare organization registered as a general practice in Mountain Home, Arkansas and active in the NPI registry since August 2010. The organization lists Richard Sandvos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710291752
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTWIN LAKES PHYSICIAN GROUP PA
Location Address17 MEDICAL PLAZAMountain Home, AR 72653
Mailing Address17 Medical PlazaMountain Home, AR 72653 · (870) 425-6212 · Fax (870) 508-6896
Phone(870) 425-6212
Fax(870) 508-6896
Organization SubpartNo
Authorized OfficialRichard SandvosCeo · (870) 425-6212
Enumeration DateAugust 2, 2010
Last NPPES UpdateAugust 16, 2013
✔ NPI 1710291752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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 ListedAnesthesiologyTaxonomy 207L00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
17 MEDICAL PLAZA, Mountain Home, AR 72653
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Other Identifiers 4

OtherDQ7170AR · Railroad Medicare
Medicaid184075002AR
Other5G314AR · Ar Bc/bs
Medicare PIN5G625AR

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 2

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

MARION CONWAY FNP
Nurse Practitioner (Family)
17 MEDICAL PLAZA
MTN HOME, AR 72653
Baxter County (870) 425-6212
NIGER STICE PA-C
Physician Assistant
17 MEDICAL PLAZA
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-6235

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 Twin Lakes Physician Group PA's NPI number?

The NPI number for Twin Lakes Physician Group PA is 1710291752. It was assigned to this organization in the NPPES registry on August 2, 2010.

Where is Twin Lakes Physician Group PA located?

Twin Lakes Physician Group PA is located at 17 Medical Plaza, Mountain Home, AR 72653. The listed phone number is (870) 425-6212.

What is Twin Lakes Physician Group 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 Twin Lakes Physician Group PA was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.