Individual provider Active NPI

Fred L Smardo, MD

  • Nephrology Physician
  • Springdale, AR
National Provider Identifier
1679505408
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E2362 Issued in AR
Practice address
307 S Thompson St
Suite C
Springdale, AR 72764-4240
Phone
(479) 751-6004
Fax
(479) 751-3408
NPI assigned
Jul 6, 2006
Last updated
Mar 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X E2362 AR Primary

Addresses

Primary practice location

307 S Thompson St
Suite C
Springdale, AR 72764-4240

Mailing address

307 S Thompson St
Suite C
Springdale, AR 72764-4240
Phone (479) 751-6004

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Arkansas Renal Dialysis Associates Nephrology PastSince Jun 30, 2005 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1679505408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S THOMPSON ST",
            "address_2": "SUITE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644240",
            "telephone_number": "479-751-6004",
            "fax_number": "479-751-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S THOMPSON ST",
            "address_2": "SUITE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644240",
            "telephone_number": "479-751-6004",
            "fax_number": "479-751-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMARDO",
        "first_name": "FRED",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E2362",
            "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 Mar 20, 2008; 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.