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

Dr. Philip Paul Pack III, DO

Individual provider Surgery Physician · NPI 1548558612

Dr. Philip Paul Pack III, DO is a General Surgery in Batesville, Arkansas. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2011, 15 years ago. Practices with Northwest Benton County Physician Services LLC, a 36-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arkansas, Florida and Indiana.

Years since qualifying
15
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
AR, FL, IN
In the registry since
2011
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

415 Allen St
Batesville, AR 72501-6958
Phone: (870) 307-3790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2040 Fitzhugh St, Batesville, AR 72501-7409 — (870) 307-3790
  • 13430 N Meridian St Ste 364, Carmel, IN 46032-1443 — (317) 582-8061
  • 9660 E 146th St Ste 100, Noblesville, IN 46060-3097 — (317) 773-6677

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence E10076 (AR)
Surgery Physician Taxonomy 208600000X · Licence 02007472A (IN)
Surgery Physician Taxonomy 208600000X · Licence UO3383 (FL)
Surgery Physician Taxonomy 208600000X · Licence OS14245 (FL)

Record details

NPI number1548558612
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 11, 2011
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025
Mailing address925 Dennison Hts, Southside, AR 72501-8943

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2011 (15 years in practice)
Group practice Northwest Benton County Physician Services Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Batesville