Robert V Sanders III, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R-4401 Issued in AR

Practice address

600 Memorial Dr
Bella Vista, AR 72714-1847

Phone

(479) 855-6165

Fax

(479) 855-2831

NPI assigned

Jul 24, 2006

Last updated

Mar 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: rsanders20394@directc.mercy.net

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.

• Northwest Physicians LLC

  • Obstetrics Physician
  • Springdale, AR
  • NPI 1194768721
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1881616092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141847",
            "telephone_number": "479-855-6165",
            "fax_number": "479-855-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141847",
            "telephone_number": "479-855-6165",
            "fax_number": "479-855-2831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3344 N Futrall Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034057",
            "country_code": "US",
            "telephone_number": "479-521-8200",
            "fax_number": "479-582-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ROBERT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "R-4401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100070270A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122377001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "55965",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00349187",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Dental Bella Vista PLLC
• Ralawnda Ruth Rodriguez, PTA
• Lezle Church Rupert, M.S., CCC-SLP
• Betty Jo Sammer, ARNP
• Michael Dallas Sammer, MD
• Maggi Lenee Scroggins, PA-C
• Nelson Andrew Seal, APN
• Kristy Sellers, PT
• Serc Rehabilitation Partners LLC
• Dennis Scott Silvey, PT

• Internal Medicine Physician in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.