National Provider Identifier Database

STEPHEN C FIEDOREK, MD – NPI #1609898006
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

STEPHEN C FIEDOREK, MD
1525 COUNTRY CLUB ROAD
SHERWOOD, AR72120-5076
Phone: 501-758-1530
Fax: 501-819-6171
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for STEPHEN C FIEDOREK

NPI Number 1609898006
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 07/10/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • AR License #: R3678
  • AR Medicaid: 112344001
  • OK Medicaid: 100160440A
  • AR Other: 50644 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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