DR. SCOTT DAVID FEDOSKY MD
NPI 1710993654
General Practice in Springdale, AR

Q: What is Scott Fedosky's NPI number?

The NPI number for Scott Fedosky is 1710993654. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Scott Fedosky's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Fedosky was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 31, 2006

5230 WILLOW CREEK DR STE 201, SPRINGDALE, AR 72762(479) 927-3131(479) 927-3131 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2023, May 11, 2023 (2 updates tracked since 2023).

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About Dr. Scott David Fedosky Md NPPES

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

DR. SCOTT DAVID FEDOSKY MD (NPI 1710993654) is an individual general practice provider in Springdale, Arkansas, licensed in Arkansas (E 0546) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710993654

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. SCOTT DAVID FEDOSKYCredential: MD

Location Address5230 WILLOW CREEK DR STE 201Springdale, AR 72762-0899

Mailing AddressPo Box 6220Springdale, AR 72766-6220 · (479) 927-3100 · Fax (479) 927-3131

Phone(479) 927-3131

Fax(479) 927-3131

Sole ProprietorYes

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1710993654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AR · E 0546

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

5230 WILLOW CREEK DR STE 201, Springdale, AR 72762

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Other Providers at the Same Location NPPES

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

MRS. MARIE LAUREN HATFIELD

Nurse Practitioner

5230 WILLOW CREEK DR STE 201
SPRINGDALE, AR 72762

Washington County (479) 927-3100

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 Scott Fedosky's NPI number?

The NPI number for Scott Fedosky is 1710993654. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Scott Fedosky located?

Scott Fedosky practices at 5230 Willow Creek Dr Ste 201, Springdale, AR 72762. The listed phone number is (479) 927-3131.

What is Scott Fedosky'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 Scott Fedosky was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.