MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA (NPI# 1700211653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700211653 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA |
| Practice Address |
3383 N Mana Ct Ste 102 Fayetteville AR 72703-4965 |
| Mailing Address |
Po Box 1523 Fayetteville AR 72702-1523 |
| Practice Telephone | 4795716565 |
| Practice Fax Number | 4794423581 |
| Mailing Telephone | 4795716038 |
| Mailing Fax Number | 4795820222 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| 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 | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1386694933 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753-2735 | 2006-05-12 |
| 1407806052 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 2523 E Huntsville Rd, Fayetteville, AR 72701-7329 | 2006-05-12 |
| Street Address |
3383 N MANA CT STE 102 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4965 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
| 1689859829 | Santiago Miro | Radiology | 7302 Wakefield Dr, Fayetteville, NY 13066-9755 | 2008-01-07 |
| 1295858967 | Garney H Fendley | Radiology | 3215 N. North Hills Blvd, Fayetteville, AR 72703-4424 | 2007-04-09 |
| 1558424986 | Joseph Vincent Scrivani | Radiology | 5436 Springview Dr, Fayetteville, NY 13066-9678 | 2006-12-18 |
| 1538244751 | Bernard Schneider | Radiology | 7064 Woodchuck Hill Rd, Fayetteville, NY 13066-9764 | 2006-10-26 |
| 1023190097 | Andrew Bostaph | Radiology | 3027 Hampton Ridge Rd, Fayetteville, NC 28311-3005 | 2006-10-19 |
| 1326095639 | Cynthia Evette P Humphries | Radiology | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 | 2006-05-30 |
| 1134170160 | Medical Associates of Northwest Arkansas Pa | Radiology | 55 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-05-15 |
| 1669430971 | Carolina Imaging LLC of Fayetteville | Radiology | 3628 Cape Center Dr, Fayetteville, NC 28304-4406 | 2006-05-03 |
| 1114993292 | Jennifer A. Knutsen | Radiology | 513 Briar Brook Run, Fayetteville, NY 13066-8751 | 2006-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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.