Organization Active NPI

J Michael Standefer MD PA

  • Neurological Surgery Physician
  • Fort Smith, AR
National Provider Identifier
1891796538
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
J MICHAEL STANDEFER MD PA
Practice address
520 Lexington Ave
Fort Smith, AR 72901-4641
Phone
(479) 785-3400
Fax
(479) 785-2295
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. James Michael Standefer, MD
Title
Owner
Phone
(479) 785-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X AR Primary

Addresses

Primary practice location

520 Lexington Ave
Fort Smith, AR 72901-4641

Mailing address

520 Lexington Ave
Fort Smith, AR 72901-4641
Phone (479) 785-3400

Other identifiers 1

IdentifierTypeStateIssuer
5F197OtherARBCBS

Other names 1

  • Neurosurgical Associates PLC Former legal business name

National Provider Directory

National Provider Directory

Locations

520 Lexington Ave
Fort Smith, AR 72901
Phone (479) 785-3400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891796538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LEXINGTON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014641",
            "telephone_number": "479-785-3400",
            "fax_number": "479-785-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LEXINGTON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014641",
            "telephone_number": "479-785-3400",
            "fax_number": "479-785-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MICHAEL STANDEFER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STANDEFER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-785-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5F197",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgical Associates PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.