MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA


Address: 55 W Sunbridge Dr, Fayetteville, AR 72703-1825
Phone: 4794426266

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA (NPI# 1134170160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134170160
Entity Type Organization
Organization Name MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Other Organization Name IMAGING ASSOCIATES OF NORTHWEST ARKANSAS
Practice Address 55 W Sunbridge Dr
Fayetteville
AR 72703-1825
Mailing Address Po Box 1523
Fayetteville
AR 72702-1523
Practice Telephone 4794426266
Practice Fax Number 4795213877
Mailing Telephone 4795716038
Mailing Fax Number 4795820222
Enumeration Date 2006-05-15
Last Update Date 2018-04-30
Authorized Official Name JOHN JORDIN (VP BUSINESS OPERATIONS)
Authorized Official Telephone 4795716780
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 200016360A 05
AR 156717002 05
AR AR BLUE CROSS/BLUE SHIELD 5C912 01

Other Provider/Organization Names

Other Name Type Code
Imaging Associates of Northwest Arkansas Other Name - Individual/Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 55 W SUNBRIDGE DR
City FAYETTEVILLE
State AR
Zip Code 72703-1825

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508277161 Bennett O Battle Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703-1825 2014-05-16
1104183169 Whitney Sipe Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703 2012-04-16
1245529528 Katherine E Rankin Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703 2011-04-07
1235305491 Britton Bennett Lott Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703-1825 2008-05-07
1962627976 Kelly A. Pierce Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703-1825 2007-04-16
1912934787 Steven E Harms Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703 2006-06-27
1669408688 Kevin L Pope Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703 2006-06-23
1346283173 Danna F Grear Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703 2006-06-13

Providers in the same zip code

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 Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700211653 Medical Associates of Northwest Arkansas Pa Radiology 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 2013-09-11
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
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

Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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