NORTHWEST ARKANSAS MEDICAL IMAGING, INC (NPI# 1083694012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083694012 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ARKANSAS MEDICAL IMAGING, INC |
| Other Organization Name | NWA MED IMAGING |
| Practice Address |
361 E Millsap Rd Fayetteville AR 72703-6289 |
| Practice Telephone | 4795873000 |
| Practice Fax Number | 4795873005 |
| Mailing Telephone | 4795873000 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAMELA MATHIASEN (ADMINISRATOR) |
| Authorized Official Telephone | 4795873000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NWA MED IMAGING | Doing Business As Name - Organization |
| Street Address |
361 E MILLSAP RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-6289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790184760 | Arkansas Medical Imaging Jv LLC | Clinical Medical Laboratory | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2014-08-15 |
| 1851701783 | Arkansas Medical Imaging Jv LLC | Clinic/Center | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2014-04-30 |
| 1710939269 | Arkansas Mri Services, LLC | Clinic/Center | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2006-05-16 |
| 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 | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144414335 | Nwa Surgeon Investors, LLC | Clinic/Center | 3873 N Parkview Dr, Suite 2, Fayetteville, AR 72703-6286 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730585902 | Arkansas Medical Imaging Jv LLC | Clinic/Center | 5701 Euper Ln, Fort Smith, AR 72903-3237 | 2014-11-14 |
| 1225105018 | Open Aire Imaging Centers of America LLC | Clinic/Center | 5701 Euper Lane, Suite B, Ft Smith, AR 72903-3237 | 2006-11-29 |
| 1841384112 | Valley Diagnostics Inc | Clinic/Center | 2504 W Main St, Suite H, Russellville, AR 72801-2533 | 2006-10-03 |
| 1235149469 | Pope County Imaging | Clinic/Center | 3127 W 2nd Court, Ste A, Russellville, AR 72811 | 2006-08-09 |
| 1376503961 | Chenal Mri LLC | Clinic/Center | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2006-03-27 |
| 1932169703 | Open Mri of Searcy LLC | Clinic/Center | 2019 East Race Ave, Searcy, AR 72143 | 2006-03-25 |
| 1225007115 | Open Mri of Conway LLC | Clinic/Center | 2585 Donaghey Ave, Suite 109, Conway, AR 72032-2327 | 2006-03-14 |
| 1376527390 | Valley Diagnostics Inc | Clinic/Center | 2504 West Main, Suite H, Russellville, AR 72801 | 2005-12-02 |
| 1871575894 | Mri Central Little Rock Inc | Clinic/Center | 4020 Richards Rd Ste D, North Little Rock, AR 72117-2744 | 2005-11-16 |
| 1588039291 | Little Rock Mri LLC | Clinic/Center | 124 N Fillmore St, Little Rock, AR 72205-3322 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on NORTHWEST ARKANSAS MEDICAL IMAGING, INC.
| 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.