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

Dylan George Fedor, DO

Individual provider Family Medicine Physician · NPI 1942905443

Dylan George Fedor, DO is a Family Practice in Jonesboro, Arkansas. Qualified in 2023, 3 years ago. Licensed in Arkansas.

Years since qualifying
3
Licensed in
AR
In the registry since
2023
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

311 E Matthews Ave
Jonesboro, AR 72401-3125
Phone: (870) 972-0063
Fax: (870) 930-2914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E-19504 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942905443
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address4301 W Markham St # 783, Little Rock, AR 72205-7101

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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