1821074592 Dr. Jack T Fendley, M.D.

Internal Medicine Physician

Active

Basic Information

Full Name
Dr. Jack T Fendley, M.D.
Gender
Male
Enumeration Date
December 15, 2005
Last Update
March 23, 2018

Practice Location

Address
3500 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 721172949
Phone
(501) 955-5589
Fax
(501) 955-5960

Mailing Address

Address
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 722114393
Phone
(501) 812-7215
Fax
(501) 812-7207

Specialties & Taxonomies

Specialty Code Classification License State Primary
Family Medicine Physician
207Q00000X Family Medicine C4596 AR No
Adult Medicine Physician
Adult Medicine
207QA0505X Family Medicine C4596 AR No
Geriatric Medicine (Family Medicine) Physician
Geriatric Medicine
207QG0300X Family Medicine C4596 AR No
Endocrinology, Diabetes & Metabolism Physician
Endocrinology, Diabetes & Metabolism
207RE0101X Internal Medicine C4596 AR No
Geriatric Medicine (Internal Medicine) Physician
Geriatric Medicine
207RG0300X Internal Medicine C4596 AR No
Internal Medicine Physician
207R00000X Internal Medicine C4596 AR Primary

Other Identifiers

Identifier Type State Issuer
0420289 01 AR UNITED HEALTHCARE ID
110190362 01 AR RR MCARE PROVIDER ID
11306000000 01 AR QUALCHOICE PROVIDER ID
106701001 05 AR N/A
4234056 01 AR AETNA PROVIDER ID

Frequently Asked Questions

What is Dr. Jack T Fendley, M.D.'s NPI number?
Dr. Jack T Fendley, M.D.'s NPI number is 1821074592.
Which doctor has NPI number 1821074592?
The doctor with NPI number 1821074592 is Dr. Jack T Fendley, M.D..
What is Dr. Jack T Fendley, M.D.'s practice address?
Dr. Jack T Fendley, M.D.'s practice address is 3500 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR, 721172949.
Which doctor practices at 3500 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR, 721172949?
Dr. Jack T Fendley, M.D. practices at 3500 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR, 721172949.
What is Dr. Jack T Fendley, M.D.'s mailing address?
Dr. Jack T Fendley, M.D.'s mailing address is 11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR, 722114393.
What is Dr. Jack T Fendley, M.D.'s phone number?
Dr. Jack T Fendley, M.D.'s phone number is (501) 955-5589.
Who is (501) 955-5589?
(501) 955-5589 is the phone number for Dr. Jack T Fendley, M.D..
What is Dr. Jack T Fendley, M.D.'s specialty?
Dr. Jack T Fendley, M.D.'s specialty is Internal Medicine Physician.
What type of doctor is Dr. Jack T Fendley, M.D.?
Dr. Jack T Fendley, M.D. is a Internal Medicine Physician.
Is Dr. Jack T Fendley, M.D. a Internal Medicine?
Yes, Dr. Jack T Fendley, M.D. is a Internal Medicine.
Is Dr. Jack T Fendley, M.D. still practicing?
Yes, Dr. Jack T Fendley, M.D. is currently practicing.
Is Dr. Jack T Fendley, M.D. accepting new patients?
Dr. Jack T Fendley, M.D. may be accepting new patients. Please call their office at (501) 955-5589 to inquire about availability.
Is NPI 1821074592 still active?
Yes, NPI 1821074592 is currently active.
Where does Dr. Jack T Fendley, M.D. practice?
Dr. Jack T Fendley, M.D. practices in NORTH LITTLE ROCK, AR.
Is Dr. Jack T Fendley, M.D. a male or female doctor?
Dr. Jack T Fendley, M.D. is a male doctor.