Active NPI
Linda M Ekman, MD
- General Practice Physician
- Fayetteville, AR
National Provider Identifier
1356377741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- N-7604
- Practice address
- 117 E Sycamore St
Fayetteville, AR 72703-2540 - Phone
- (479) 521-0200
- Fax
- (479) 521-4942
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | N-7604 | AR | Primary |
Addresses
Primary practice location
117 E Sycamore St
Fayetteville, AR 72703-2540
Mailing address
PO Box 3531
Fayetteville, AR 72702-3531
Phone (479) 521-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5K613 | Other | AR | AR BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-7604 | AR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1356377741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3531",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727023531",
"telephone_number": "479-521-0200",
"fax_number": "479-521-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E SYCAMORE ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032540",
"telephone_number": "479-521-0200",
"fax_number": "479-521-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKMAN",
"first_name": "LINDA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AR",
"license": "N-7604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BC/BS",
"identifier": "5K613",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.