Individual provider Active NPI

Stephanie Patyk, D.O.

  • Family Medicine Physician
  • Stuttgart, AR
National Provider Identifier
1346679388
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E9812 Issued in AR
Practice address
1609 N Medical Drive
Stuttgart, AR 72160
Phone
(870) 674-6117
Fax
(870) 672-6376
NPI assigned
Nov 8, 2013
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 E9812 AR Primary

Addresses

Primary practice location

1609 N Medical Drive
Stuttgart, AR 72160

Mailing address

1609 N Medical Dr
Stuttgart, AR 72160-3274
Phone (870) 674-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601001642 AR Practitioner - Family Practice 5294002820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuttgart Medical Clinic, LTDGroup PAC ID 8123176658, 10 clinicians

Practice addresses (Care Compare)

1609 N Medical Dr
Stuttgart, AR 72160-3274
Phone (870) 673-7395

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stuttgart Medical Clinic, LTD Family Medicine CurrentSince Mar 27, 2017 Accepting new patients
Stuttgart Regional Medical Center Family Medicine Past Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1609 N Medical Dr
Stuttgart, AR 72160
Phone (501) 673-7211

Interoperability endpoints

  • Direct secure messaging: spatyk160086@direct.baptist-healthar.org

Organizations & group practices 2

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 4

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1346679388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N MEDICAL DR",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603274",
            "telephone_number": "870-674-6117",
            "fax_number": "870-672-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N MEDICAL DRIVE",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "72160",
            "telephone_number": "870-674-6117",
            "fax_number": "870-672-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATYK",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E9812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuttgart, AR

Sources for this page

Verify at the official NPI Registry.