Healthcare Provider Details

I. General information

NPI: 1952372120
Provider Name (Legal Business Name): J THADDEUS BECK M.D., F.A.C.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 PARKWAY CIR STE 100
SPRINGDALE AR
72762-5328
US

IV. Provider business mailing address

3901 PARKWAY CIR STE 100
SPRINGDALE AR
72762-5328
US

V. Phone/Fax

Practice location:
  • Phone: 479-587-1700
  • Fax: 479-587-1366
Mailing address:
  • Phone: 479-587-1700
  • Fax: 479-587-1366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC6790
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: