Northwest Arkansas Renal Dialysis Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

E2362 Issued in AR

Legal business name

NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES

Doing business as

Regional Kidney Center Springdale Dialysis Clinic

Practice address

708 Quandt Ave
Springdale, AR 72764-5309

Phone

(479) 750-7056

Fax

(479) 750-7059

NPI assigned

Aug 31, 2006

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fred Smardo, MD

Title

Business Owner

Phone

(479) 443-6688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regional Kidney Center Springdale Dialysis Clinic Doing business as

Tax ID family

Northwest Arkansas Renal Dialysis Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Arkansas Renal Dialysis Associates

  dba Regional Kidney Center Siloam Springs Dialysis Clinic

  • Nephrology Physician
  • Siloam Springs, AR
  • NPI 1598876278
  NPD tax ID

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1194836874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E MILLSAP RD",
            "address_2": "SUITE111",
            "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": "708 QUANDT AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645309",
            "telephone_number": "479-750-7056",
            "fax_number": "479-750-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "SMARDO",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "479-443-6688",
        "authorized_official_name_prefix": "Dr.",
        "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": "12568",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Kidney Center Springdale Dialysis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Arkansas OB/GYN Assoc.,PLC (Creekside Center for Women & Laser Aesthetics)
• Northwest Arkansas Paramed Transfer LLC (Arkansas Paramed Transfer)
• Northwest Arkansas Physical Ability Testing Center Inc (ApexNetwork Physical Therapy)
• Northwest Arkansas Physical Ability Testing Center, P.a.
• Northwest Arkansas Radiation Therapy Institute
• Northwest Arkansas Retina Associates, P.a.
• Northwest Arkansas Sunset Group, P.L.L.C (Sunet Health Care)
• Northwest Arkansas Surgical Clinic, P.a.
• Northwest Arkansas Urology Associates & Pelvic Health Clinic, PLLC
• Northwest Dermatology Clinic, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.