Jack T Fendley is a Internal Medicine Physician based in Little Rock, AR. Jack T Fendley practices in North Little Rock, AR and has the professional credentials of MD. The NPI Number for Jack T Fendley is 1821074592 and holds a License No. C4596 (Arkansas).
The current practice location address for Jack T Fendley is 3500 Springhill Dr Ste 100, North Little Rock, AR and can be reached out via phone at 501-955-5589 and via fax at 501-955-5960.
Location: 3500 Springhill Dr Ste 100, North Little Rock, AR, 72211-4393
Provider Profile Details
NPI Number
1821074592
Provider Name
Jack T Fendley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3500 Springhill Dr Ste 100, North Little Rock, AR, 72211-4393
Phone Number
501-955-5589
Fax Number
501-955-5960
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
Provider's Legacy 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 | |
| 4234056 | 01 | AR | AETNA PROVIDER ID |
Provider Business Practice Location Address Details
Address
3500 Springhill Dr Ste 100
City
State
Zip
72117-2949
Phone Number
501-955-5589
Fax Number
501-955-5960
Provider Business Mailing Address Details
Address
3500 Springhill Dr Ste 100
City
State
Zip
72117-2949
Phone Number
501-955-5589
Fax Number
501-955-5960
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
C4596 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
C4596 (Arkansas)
Definition
Definition to come.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
License No.
C4596 (Arkansas)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
C4596 (Arkansas)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
License No.
C4596 (Arkansas)
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
License No.
C4596 (Arkansas)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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