MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA (NPI# 1770534703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770534703 |
Entity Type | Organization |
Organization Name | MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA |
Practice Address |
3302 N Northhills Blvd Fayetteville AR 72703-4008 |
Mailing Address |
Po Box 1523 Fayetteville AR 72702-1523 |
Practice Telephone | 4795823366 |
Practice Fax Number | 4795716572 |
Mailing Telephone | 4795716038 |
Mailing Fax Number | 4795820222 |
Enumeration Date | 2006-05-15 |
Last Update Date | 2018-01-25 |
Authorized Official Name | JOHN JORDIN (CIO) |
Authorized Official Telephone | 4795716780 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | AR BC/BS | 5F220 | 01 |
AR | 156352002 | 05 |
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 |
1386694933 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753-2735 | 2006-05-12 |
Street Address |
3302 N NORTHHILLS BLVD |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-4008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205806536 | Angela K Curry | Obstetrics & Gynecology | 3302 N Northhills Blvd, Fayetteville, AR 72703-4008 | 2006-01-26 |
1356563472 | Lisa A Harmon | Nurse Practitioner | 3302 N Northhills Blvd, Fayetteville, AR 72703-4008 | 2007-05-02 |
1144275413 | Mark G Pickhardt | Obstetrics & Gynecology | 3302 N Northhills Blvd, Fayetteville, AR 72703-4008 | 2006-05-24 |
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 | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
1376689067 | Barbara Attura O'brien | Obstetrics & Gynecology | 123 Kathi Ave, Fayetteville, GA 30214-1691 | 2007-01-29 |
1194751164 | Elizabeth Ann Woods | Obstetrics & Gynecology | 525 N Garland Ave, Fayetteville, AR 72701-3110 | 2006-06-23 |
1508865965 | Fayetteville Women's Clinic | Obstetrics & Gynecology | 1011 N College Ave, Fayetteville, AR 72701-2012 | 2005-07-19 |
1396748562 | Gerianne C Geszler | Obstetrics & Gynecology | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2005-05-23 |
1205449691 | Washington Regional Medical System | Obstetrics & Gynecology | 3561 Johnson Mill Blvd, Suite 102, Fayetteville, AR 72704 | 2020-08-26 |
1417167446 | Women's Community Care, PC | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 | 2007-05-22 |
1417964990 | Maryann Elizabeth Millar | Obstetrics & Gynecology | 4117 Medical Center Dr, Pod A, Fayetteville, NY 13066-6600 | 2006-08-01 |
1962431460 | Kathleen W Paulson | Obstetrics & Gynecology | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-30 |
1881639110 | Georgia Urogynecology, PC | Obstetrics & Gynecology | 1260 Highway 54 W, Fayetteville, GA 30214-4514 | 2006-06-19 |
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.