Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mark L Miedema, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fayetteville, AR · enumerated 2009 · practices at Ozark Orthopaedics, P.A..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205063211

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Registry record

Entity type Individual (Type 1)

Name Mark L Miedema

Credential M.D.

Sex Male

Practice address 3317 N Wimberly Dr, Fayetteville, AR, 72703

Phone (479) 521-2752

Fax (479) 443-7862

Enumeration date Jun 17, 2009

Last updated in NPPES Mar 19, 2025

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License E-9691 (AR) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 13487 (FL) Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 49437 (CO) Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License E-9691 (AR) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1205063211 active?

Yes, as of the latest NPPES snapshot, NPI 1205063211 is active (record last updated 2025-03-19).

How do I verify Mark Miedema's NPI record?

Cross-check NPI 1205063211 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-19.