Individual provider Active NPI

William Kendrick, MD

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1346282290
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5417 Issued in AR
Practice address
513 N Shiloh St
Springdale, AR 72764-4959
Phone
(479) 419-9902
Fax
(479) 419-9950
NPI assigned
Jun 12, 2006
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C5417 AR Primary

Addresses

Primary practice location

513 N Shiloh St
Springdale, AR 72764-4959

Mailing address

513 N Shiloh St
Springdale, AR 72764-3343
Phone (479) 419-9902

Other identifiers 1

IdentifierTypeStateIssuer
124288001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3215 N Northhills Blvd
Medical Staff Services
Fayetteville, AR 72703-4424

3215 Northhills Blvd
Medical Staff Services
Fayetteville, AR 72703-4424

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C5417ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC Current Accepting new patients
Washington Regional Medical System Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Washington Regional Medical System Family Medicine Current Accepting new patients
Washington Regional Medical System Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Northwest Physicians LLC Past Accepting new patients
Shiloh Clinic PLC Family Medicine PastSince Jan 31, 2011 Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

3875 W Sunset Ave
Springdale, AR 72762
Phone (479) 751-9236

601 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

803 Quandt Ave
Springdale, AR 72764
Phone (479) 751-9236

Interoperability endpoints

  • Direct secure messaging: williamkendrick@wrms.allscriptsdirect.net
  • Direct secure messaging: wkendrick33135@washingtonregional.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1346282290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N SHILOH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727643343",
            "telephone_number": "479-419-9902",
            "fax_number": "479-419-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N SHILOH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644959",
            "telephone_number": "479-419-9902",
            "fax_number": "479-419-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124288001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.