MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA (NPI# 1386694933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386694933 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA |
| Practice Address |
775 E Douglas St Prairie Grove AR 72753-2735 |
| Mailing Address |
Po Box 1523 Fayetteville AR 72702-1523 |
| Practice Telephone | 4792675600 |
| Practice Fax Number | 4798465056 |
| Mailing Telephone | 4795716038 |
| Mailing Fax Number | 4795820222 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | JOHN JORDIN (CIO) |
| Authorized Official Telephone | 4795716780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR BLUE CROSS/BLUE SHIELD | 5B775 | 01 |
| AR | 155659002 | 05 | |
| AR | AR BC/BS | 56750 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114482379 | Medical Associates of Northwest Arkansas Pa | Internal Medicine | 3344 N Futrall Dr Ste B, Fayetteville, AR 72703-4057 | 2019-02-01 |
| 1710461462 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 376 N Center Street, Elkins, AR 72727 | 2018-09-19 |
| 1598243560 | Medical Associates of Northwest Arkansas Pa | Radiology | 502 N Walnut St, Harrison, AR 72601-3616 | 2018-08-01 |
| 1073991717 | Medical Associates of Northwest Arkansas Pa | Physical Therapist | 6636 W Sunset Ave Ste C, Springdale, AR 72762-0971 | 2015-05-14 |
| 1356729172 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 2127 N Center Street, Elkins, AR 72727 | 2015-05-13 |
| 1700211653 | Medical Associates of Northwest Arkansas Pa | Radiology | 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 | 2013-09-11 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| 1134170160 | Medical Associates of Northwest Arkansas Pa | Radiology | 55 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-05-15 |
| 1780635466 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 1673 N College Ave, Fayetteville, AR 72703-1919 | 2006-05-15 |
| 1407806052 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 2523 E Huntsville Rd, Fayetteville, AR 72701-7329 | 2006-05-12 |
| Street Address |
775 E DOUGLAS ST |
| City | PRAIRIE GROVE |
| State | AR |
| Zip Code | 72753-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006542 | Marie Jones | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753-2735 | 2018-03-09 |
| 1376572800 | Ron D Lee | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-30 |
| 1376589754 | Christian G Blankers | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1982821468 | Deborah Paas Blackburn | Speech-Language Pathologist | 15322 Goose Creek Road, Prairie Grove, AR 72753 | 2007-04-19 |
| 1083742928 | Brad Green | Dentist | 401 E Buchanan, Box 288, Prairie Grove, AR 72753 | 2007-03-01 |
| 1649332511 | Sterling Drug Company | Pharmacy | 125 E. Buchanan Street, Prairie Grove, AR 72753 | 2006-12-15 |
| 1811911100 | Andrew Thomas Bain | Dentist | 128 N Mock St, Prairie Grove, AR 72753 | 2006-07-27 |
| 1457548935 | Brad H Green Dds Pa | Dentist | 401 E Buchanan, Prairie Grove, AR 72753 | 2007-09-28 |
| 1801350137 | Kacee Bodiford | Nurse Practitioner | 3150 E. Heritage Pwy, Prairie Grove, AR 72753-0000 | 2019-01-31 |
| 1164819330 | Tracy Houston | Specialist/Technologist | 500 Cole Dr, Prairie Grove, AR 72753-2509 | 2015-04-24 |
| 1205846813 | Marie Chantale Crosse | Nurse Practitioner | 801 Viney Grove Rd, Prairie Grove, AR 72753-2623 | 2006-08-08 |
| 1518389089 | St. Francis House Nwa, Inc. | Clinic/Center | 801 Viney Grove Rd, Prairie Grove, AR 72753-2623 | 2014-01-17 |
| Find all providers in zip 72753 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376572800 | Ron D Lee | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-30 |
| 1376589754 | Christian G Blankers | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609833 | Lafayette County Family Practice | Family Medicine | 226 Spruce Street, Lewisville, AR 71845 | 2020-11-06 |
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1932709995 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 505 W Section Line Road, Poyen, AR 72128 | 2020-10-29 |
| 1124627781 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 370 Highway 215, Oark, AR 72852-8858 | 2020-10-23 |
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1417563321 | Access Medical Clinic Arkansas LLC | Family Medicine | 444 Taylor Circle, Cave City, AR 72521 | 2020-09-17 |
| 1871107474 | Mimo Medical Services, LLC | Family Medicine | 2506 Crestview Dr, Magnolia, AR 71753-4336 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE GROVE |
| Zip Code | 72753 |
Please comment or provide details below to improve the information on MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA.
| 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.