Organization Active NPI

Fred L Smardo, M.D., PA

  • 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
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
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, MD
Title
Owner
Phone
(479) 751-6004

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

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.