NORTHWEST ARKANSAS CENTER FOR PLASTIC SURGERY, LTD. (NPI# 1396057758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396057758 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ARKANSAS CENTER FOR PLASTIC SURGERY, LTD. |
| Practice Address |
137 W Van Asche Loop Fayetteville AR 72703 |
| Practice Telephone | 4795713100 |
| Practice Fax Number | 4795713101 |
| Mailing Telephone | 4795713100 |
| Mailing Fax Number | 4795713101 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | DR. DAVID HEATH STACEY (PRESIDENT) |
| Authorized Official Telephone | 4795713100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | E-6144 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
137 W VAN ASCHE LOOP |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740245893 | David Heath Stacey | Plastic Surgery | 137 W Van Asche Loop, Fayetteville, AR 72703-4999 | 2006-04-20 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710291299 | The Center for Plastic Surgery, Plc | Plastic Surgery | 3733 N Business Dr Ste 102, Fayetteville, AR 72703-5286 | 2010-07-27 |
| 1245567833 | Carolina Plastic Surgery of Fayetteville PC | Plastic Surgery | 2153 Valleygate Dr Ste 103, Fayetteville, NC 28304-3667 | 2009-11-03 |
| 1962648980 | R. Douglas Vanderpool | Plastic Surgery | 2552 E. Joyce Blvd., Suite B, Fayetteville, AR 72703-4553 | 2008-12-22 |
| 1255498887 | Stephen Mitchell Herring | Plastic Surgery | 516 Beaumont Rd, Fayetteville, NC 28304-4443 | 2007-01-02 |
| 1548342702 | Saira Saini | Plastic Surgery | 2153 Valleygate Dr., Suite 103 Carolina Plastic Surgery, Fayetteville, NC 28304 | 2006-10-19 |
| 1740245893 | David Heath Stacey | Plastic Surgery | 137 W Van Asche Loop, Fayetteville, AR 72703-4999 | 2006-04-20 |
| 1306838099 | Edward Scott Gronka | Plastic Surgery | 874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214-1511 | 2005-08-18 |
| 1760733448 | Truffles Vein Center, LLC | Plastic Surgery | 874 Lanier Ave W, Suite 120, Fayetteville, GA 30214-7662 | 2012-09-21 |
| 1801190731 | Denis F Branson Md Professional Corporation | Plastic Surgery | 7000 E Genesee St, Building E, Fayetteville, NY 13066-1131 | 2011-01-06 |
| 1760527220 | Cape Fear Plastic Surgery Pa | Plastic Surgery | 516 Beaumont Rd, Fayetteville, NC 28304-4443 | 2007-02-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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| 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.