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

Dr. Phillip G Doerner III, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962864694

Dr. Phillip G Doerner III, DO is an Internal Medicine in Fayetteville, Arkansas. Graduated from Oklahoma State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Washington Regional Medical System, a 240-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
AR
In the registry since
2016
Specialties on file
2
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

3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (479) 463-7102
Fax: (479) 463-7864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence E-11424 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AR)

Record details

NPI number1962864694
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 22, 2016
Last updated in NPPESSeptember 19, 2019
Mailing addressPo Box 550, Lowell, AR 72745-0550

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Washington Regional Medical System — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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