NPIMap

Organization Active NPI

University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1487624490
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Practice address
2422 N Thompson St
Springdale, AR 72764-1757
Phone
(479) 750-6585
Fax
(479) 750-6594
NPI assigned
Jan 23, 2006
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Amanda George
Title
Vice Chancellor-Chief Financial Off
Phone
(501) 686-5670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

2422 N Thompson St
Springdale, AR 72764-1757

Mailing address

2422 N Thompson St
Springdale, AR 72764-1757
Phone (479) 750-6585

Other practice location 1

601 W Maple Ave
Suite 102
Springdale, AR 72764-5379
Phone (479) 750-6585

Other identifiers 2

IdentifierTypeStateIssuer
303216002MedicaidAR
5B787OtherARBLUE CROSS AND BLUE SHIEL

Other names 1

  • UAMS Health FMC Springdale Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050414000609 AR Part B Supplier - Clinic/Group Practice 4082528955 Receives reassigned benefits from 19 practitioners
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory
Tax ID family
Hope Hartz111 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uams Medical CenterLittle Rock, AR, CCN 040016 Hospital Operational/Managerial Control (100%) Dec 1, 2021
Uams Health - Home HealthSearcy, AR, CCN 047057 Home health agency 5% Or Greater Direct Ownership Interest (49%) Dec 1, 2022

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1487624490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 N THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641757",
            "telephone_number": "479-750-6585",
            "fax_number": "479-750-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 N THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641757",
            "telephone_number": "479-750-6585",
            "fax_number": "479-750-6594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Maple Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727645379",
            "country_code": "US",
            "telephone_number": "479-750-6585",
            "fax_number": "479-750-6594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE CHANCELLOR-CHIEF FINANCIAL OFF",
        "authorized_official_telephone_number": "501-686-5670"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303216002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "5B787",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UAMS Health FMC Springdale",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.