DR. JACK T FENDLEY M.D.
NPI 1821074592
Internal Medicine in North Little Rock, AR

Q: What is Jack Fendley's NPI number?

The NPI number for Jack Fendley is 1821074592. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Q: What is Jack Fendley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Fendley was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 15, 2005

3500 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR 72117(501) 955-5589(501) 955-5960 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack T Fendley M.d. NPPES

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

DR. JACK T FENDLEY M.D. (NPI 1821074592) is an individual internal medicine provider in North Little Rock, Arkansas, licensed in Arkansas (C4596) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1821074592

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACK T FENDLEYCredential: M.D.

Location Address3500 SPRINGHILL DR STE 100North Little Rock, AR 72117-2949

Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 812-7215 · Fax (501) 812-7207

Phone(501) 955-5589

Fax(501) 955-5960

Sole ProprietorNo

Enumeration DateDecember 15, 2005

Last NPPES UpdateMarch 23, 2018

✔ NPI 1821074592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AR · C4596

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License C4596 (AR)

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License C4596 (AR)

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License C4596 (AR)

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License C4596 (AR)

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License C4596 (AR)

3500 SPRINGHILL DR STE 100, North Little Rock, AR 72117

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Other Identifiers 5

Other0420289AR · United Healthcare Id

Other11306000000AR · Qualchoice Provider Id

Other4234056AR · Aetna Provider Id

Medicaid106701001AR

Other110190362AR · Rr Mcare Provider Id

Other Providers at the Same Location NPPES 6

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

AMANDA MICHELLE THOMPSON LCSW

Social Worker (Clinical)