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

Mark L Miedema, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1205063211

Mark L Miedema, MD is a Physical Medicine and Rehabilitation in Fayetteville, Arkansas. Graduated from University of Arkansas College of Medicine in 2009, 17 years ago. Practices with Ozark Physical Therapy Inc, a 43-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas, Colorado and Florida.

Years since qualifying
17
Trained at
University of Arkansas College of Medicine
Licensed in
AR, CO, FL
In the registry since
2009
Specialties on file
4
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

3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone: (479) 521-2752
Fax: (479) 443-7862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Se Moberly Ln, Bentonville, AR 72712-7017 — (479) 521-2752

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence E-9691 (AR)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence E-9691 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 13487 (FL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 49437 (CO)

Record details

NPI number1205063211
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2009
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address3317 N Wimberly Dr, Fayetteville, AR 72703-4056

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPAIN MANAGEMENT
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Ozark Physical Therapy Inc. — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fayetteville