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

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: July 26, 2026.

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)
3500 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 945-8838
DR. ROBERT LAWRENCE STANLEY M.D.
Internal Medicine
3500 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-5589
JANE JEE-SUN KANG M.D.
Psychiatry & Neurology (Psychiatry)
3500 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 945-8838
DR. GREGORY N HENSON M.D.
Internal Medicine
3500 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-5589
JESSICA R STRACK PA
Physician Assistant
3500 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-5589
HOLLY AGUD M.D.
Psychiatry & Neurology (Psychiatry)
3500 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 945-8838

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 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.

Where is Jack Fendley located?

Jack Fendley practices at 3500 Springhill Dr Ste 100, North Little Rock, AR 72117. The listed phone number is (501) 955-5589.

What is Jack Fendley's specialty?

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

When was this NPI record last updated?

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