Organization Active NPI

James W. Slezak, Jr., M.D., P.a.

  • Surgery Physician
  • Springdale, AR
National Provider Identifier
1265867493
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MC2281 Issued in AR
Legal business name
JAMES W. SLEZAK, JR., M.D., P.A.
Practice address
116 Woodcliff Rd
Springdale, AR 72764-3691
Phone
(479) 466-0432
Fax
(479) 756-8847
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Dr. James Walter Slezak Jr., M.D.
Title
President
Phone
(479) 466-0432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MC2281 AR Primary

Addresses

Primary practice location

116 Woodcliff Rd
Springdale, AR 72764-3691

Mailing address

116 Woodcliff Rd
Springdale, AR 72764-3691
Phone (479) 466-0432

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1265867493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WOODCLIFF RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727643691",
            "telephone_number": "479-466-0432",
            "fax_number": "479-756-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WOODCLIFF RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727643691",
            "telephone_number": "479-466-0432",
            "fax_number": "479-756-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W. SLEZAK, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "SLEZAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-466-0432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "MC2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.