Dr. Wendy David Internal Medicine Clinic, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

E0168 Issued in AR

Legal business name

DR. WENDY DAVID INTERNAL MEDICINE CLINIC, PLLC

Doing business as

WD MD Internal Medicine and Heart Clinic

Practice address

701 Horsebarn Rd
Suite 101
Rogers, AR 72758

Phone

(479) 273-9700

Fax

(479) 273-9706

NPI assigned

Oct 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Michael Allen, M.D.

Title

Partner

Phone

(479) 273-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WD MD Internal Medicine and Heart Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073700167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 16871",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036714",
            "telephone_number": "479-273-9700",
            "fax_number": "479-273-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HORSEBARN RD",
            "address_2": "SUITE 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-273-9700",
            "fax_number": "479-273-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WENDY DAVID INTERNAL MEDICINE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "479-273-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E0168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125865001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WD MD Internal Medicine and Heart Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Rogers, AR
• Providers in Rogers, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.