Provider Demographics
NPI:1952434078
Name:ROBERT R. SYKES, M.D.
Entity Type:Organization
Organization Name:ROBERT R. SYKES, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-845-1666
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:LOCKESBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71846-0295
Mailing Address - Country:US
Mailing Address - Phone:870-289-5865
Mailing Address - Fax:870-289-6993
Practice Address - Street 1:900 LESLIE ST
Practice Address - Street 2:SUITE 7
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-4017
Practice Address - Country:US
Practice Address - Phone:870-845-1666
Practice Address - Fax:870-845-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC4535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR152073002Medicaid
AR152073002Medicaid