Northwest Arkansas Renal Dialysis Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

E2362 Issued in AR

Legal business name

NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES

Practice address

509 E Millsap Rd
Suite 111
Fayetteville, AR 72703-4067

Phone

(479) 443-6688

Fax

(479) 527-9917

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fred Smardo, MDNPI 1679505408

Title

Doctor Owner

Phone

(479) 443-6688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regional Kidney Center Fayetteville Dialysis Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred L Smardo, MD

  • Nephrology Physician
  • Springdale, AR
  • NPI 1679505408
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1154435923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E MILLSAP RD",
            "address_2": "SUITE 111",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034067",
            "telephone_number": "479-443-6688",
            "fax_number": "479-527-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E MILLSAP RD",
            "address_2": "SUITE 111",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034067",
            "telephone_number": "479-443-6688",
            "fax_number": "479-527-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "SMARDO",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "479-443-6688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E2362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12539",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Kidney Center Fayetteville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Arkansas Pathology Associates, PA
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• Northwest Arkansas Periodontal Associates, PLLC
• Northwest Arkansas Podiatry Center, Inc.
• Northwest Arkansas Rehabilitation Associates
• Northwest Arkansas Senior Care Specialists, PLLC
• Northwest Arkansas Sleep Diagnostics LLC
• Northwest Arkansas Urology Associates, P.a.
• Northwest Arkansas Urology Associates, PLLC
• Northwest Counseling & Social Work Services, Inc

• Nephrology Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Nephrology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.