NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES (NPI# 1154435923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154435923 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES |
| Other Organization Name | REGIONAL KIDNEY CENTER FAYETTEVILLE DIALYSIS |
| Practice Address |
509 E Millsap Rd Suite 111 Fayetteville AR 72703-4067 |
| Practice Telephone | 4794436688 |
| Practice Fax Number | 4795279917 |
| Mailing Telephone | 4794436688 |
| Mailing Fax Number | 4795279917 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | MR. FRED SMARDO (DOCTOR OWNER) |
| Authorized Official Telephone | 4794436688 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
E2362 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 12539 | 01 |
| Other Name | Type Code |
|---|---|
| Regional Kidney Center Fayetteville Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194836874 | Northwest Arkansas Renal Dialysis Associates | Internal Medicine | 708 Quandt Ave, Springdale, AR 72764-5309 | 2006-08-31 |
| 1396856084 | Northwest Arkansas Renal Dialysis Associates | Internal Medicine | 1104 Se 30th St, Bentonville, AR 72712-4290 | 2006-08-31 |
| 1598876278 | Northwest Arkansas Renal Dialysis Associates | Internal Medicine | 500 S Mount Olive St, Suite 107, Siloam Springs, AR 72761-3602 | 2006-08-31 |
| Street Address |
509 E MILLSAP RD SUITE 111 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932131935 | Lloyd Trichell | Podiatrist | 509 E Millsap Rd, Suite #101, Fayetteville, AR 72703-4067 | 2006-07-07 |
| 1295913416 | Total Renal Care Inc | Clinic/Center | 509 E Millsap Rd, Ste 111, Fayetteville, AR 72703-4862 | 2008-02-11 |
| 1073727756 | Dr Lloyd C Trichell Pa | Podiatrist | 509 E Millsap Rd, Ste. 101, Fayetteville, AR 72703-4067 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740420892 | Choomsang Lohavichan | Internal Medicine | 1123 Longleaf Dr, Fayetteville, NC 28305-5278 | 2009-03-03 |
| 1245239136 | Maureen Ngozi Achuko | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1184653313 | Dinesh Narasimhaiah Chandra | Internal Medicine | 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 | 2006-07-01 |
| 1497707640 | Moses Y Aboagye-kumi | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2006-05-16 |
| 1619941150 | Emily X Sun | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2006-02-13 |
| 1003815994 | Kenneth Melton | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1245239144 | Ezra Lee Mcconnell IIi | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1942209853 | Mark Aarne Kasari | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1952300857 | Yuan Lu | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1396744298 | William Edward Buchanan | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304 | 2005-07-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.