MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA (NPI# 1063947604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063947604 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA |
| Practice Address |
4700 S Thompson St Ste C103 Springdale AR 72764-2558 |
| Mailing Address |
Po Box 1523 Fayetteville AR 72702-1523 |
| Practice Telephone | 4795716363 |
| Practice Fax Number | 4796843971 |
| Mailing Telephone | 4795716038 |
| Mailing Fax Number | 4795820222 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | JOHN JORDIN (CIO) |
| Authorized Official Telephone | 4795716780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MC-2482 | AR | Allopathic & Osteopathic Physicians |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| 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 |
4700 S THOMPSON ST STE C103 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891740502 | Lance C Foster | Psychiatry & Neurology | 4700 S Thompson St Ste C103, Springdale, AR 72764-2558 | 2006-05-23 |
| 1215562459 | Nicholas W Hopkins | Nurse Practitioner | 4700 S Thompson St Ste C103, Springdale, AR 72764-2558 | 2020-03-09 |
| 1538668926 | Medical Associates of Northwest Arkansas Pa | Psychiatry & Neurology | 4700 S Thompson St Ste C103, Springdale, AR 72764-2558 | 2018-02-12 |
| 1295194132 | Brittany S Seifert | Nurse Practitioner | 4700 S Thompson St Ste C103, Springdale, AR 72764 | 2016-02-21 |
| 1770720500 | Andrea Cole | Counselor | 4700 S Thompson St Ste C103, Springdale, AR 72764 | 2009-01-15 |
| 1295918449 | Randall Dean Staley Jr. | Pediatrics | 4700 S Thompson St Ste C103, Springdale, AR 72764 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063881795 | Balanced Life Concepts | Counselor | 4306 Atchison Ave, Springdale, AR 72762-6643 | 2015-09-23 |
| 1295018042 | David Vance Crow | Counselor | 2002 S 48th St, Suite J, Springdale, AR 72762-5772 | 2011-09-27 |
| 1306176722 | Brandi K Harris | Counselor | 6815 Isaacs Orchard Rd, Suite B1, Springdale, AR 72762-6324 | 2010-01-07 |
| 1972640951 | Carrie Lynn Rye | Counselor | 3291 S Thompson St Ste E103, Springdale, AR 72764-7096 | 2007-01-31 |
| 1861586323 | Angela Dawn Waliski | Counselor | 4960 Springhouse Dr., Springdale, AR 72762 | 2006-10-02 |
| 1710095856 | Morgan Catlin Schroeder | Counselor | 4960 Springhouse Drive, Springdale, AR 72762 | 2006-08-28 |
| 1467465047 | Doris Ann Schuldt | Counselor | 2466 S. 48th St., Springdale, AR 72762 | 2006-08-14 |
| 1548783327 | Michelle N Derose | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2017-07-24 |
| 1518488022 | Megan Eileen Taylor | Counselor | 6733 Sunset Ridge Cir, Springdale, AR 72762-8162 | 2017-07-06 |
| 1417402892 | Brandy Scholl | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2016-08-16 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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.