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

Individual provider Family Medicine Physician · NPI 1205037611

George Ryan Declerk, MD is a Family Practice in Rogers, Arkansas. Graduated from University of Arkansas College of Medicine in 2006, 20 years ago. Practices with Northwest Benton County Physician Services LLC, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
20
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2603 W Pleasant Grove Rd Ste 109
Rogers, AR 72758-5804
Phone: (479) 636-4138
Fax: (479) 636-4140
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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 E5450 (AR)

Record details

NPI number1205037611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2007
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020
Mailing address2603 W Pleasant Grove Rd, Suite 109, Rogers, AR 72758-5804

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Northwest Benton County Physician Services Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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