Provider Demographics
NPI:1942339890
Name:FRANK R SCHWARTZ MD PA
Entity Type:Organization
Organization Name:FRANK R SCHWARTZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAYDEN
Authorized Official - Middle Name:PETEET
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-633-0800
Mailing Address - Street 1:PO BOX 1019
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72336-1019
Mailing Address - Country:US
Mailing Address - Phone:870-633-0800
Mailing Address - Fax:870-633-9086
Practice Address - Street 1:902 HOLIDAY DR
Practice Address - Street 2:SUITE 103
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-9183
Practice Address - Country:US
Practice Address - Phone:870-633-0800
Practice Address - Fax:870-633-9086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR54714Medicare ID - Type Unspecified
D08999Medicare UPIN