Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Street Medical Clinic, PA

Organization Internal Medicine Physician · NPI 1841298791

Main Street Medical Clinic, PA is an Internal Medicine Physician in Benton, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.

Licensed in
AR
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

722 N Main St
Benton, AR 72015-3337
Phone: (501) 315-0059
Fax: (501) 315-1320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MC-2252 (AR)
Pediatrics Physician Taxonomy 208000000X · Licence MC-2252 (AR)

Record details

NPI number1841298791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheryl Wilchman — Office Manager · (501) 315-0059
NPI enumeratedJuly 13, 2005
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing address722 N Main St, Benton, AR 72015-3337

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