Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Robert E Stevens, PA-C

Individual provider Physician Assistant · NPI 1689767105

Mr. Robert E Stevens, PA-C is a Physician Assistant in Fayetteville, Arkansas. Qualified in 2000, 26 years ago. Practices with Ozark Dermatology Clinic, a 15-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
26
Licensed in
AR
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4375 N Vantage Dr Ste 305
Fayetteville, AR 72703-4984
Phone: (479) 443-5100
Fax: (479) 443-5117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA227 (AR)

Record details

NPI number1689767105
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 29, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ozark Dermatology Clinic — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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