NPIMap

Organization Active NPI

Fred L Smardo, M.D., PA

Doing business as Arkansas Kidney Consultants

  • Nephrology Physician
  • Springdale, AR
National Provider Identifier
1942390158
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
FRED L SMARDO, M.D., PA
Doing business as
Arkansas Kidney Consultants
Practice address
307 S Thompson St
Suite C
Springdale, AR 72764-4240
Phone
(479) 751-6004
Fax
(479) 751-3408
NPI assigned
Oct 16, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Fred L Smardo, MDNPI 1679505408
Title
Owner
Phone
(479) 751-6004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 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

Other names 1

  • ARKANSAS KIDNEY CONSULTANTS Doing business as

National Provider Directory

National Provider Directory

Locations

307 S Thompson St
Ste C
Springdale, AR 72764
Phone (479) 601-2314

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1942390158",
    "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": {
        "organization_name": "FRED L SMARDO, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SMARDO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-751-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARKANSAS KIDNEY CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 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.