NPI 1710218995 · live from the CMS NPI Registry
Medical Associates Of Northwest Arkansas PA
Family Medicine in Fayetteville, AR. National Provider Identifier 1710218995, active.
NPI record
| NPI | 1710218995 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3383 N Mana Ct, Suite 201, Fayetteville, AR 72703 |
| Practice phone | 479-571-6780 |
| Mailing address | Po Box 10678, Fayetteville, AR 72703 |
| Enumerated | January 27, 2010 |
| Last updated | April 11, 2025 |
| Authorized official | Terry Hurt, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology | 207K00000X | — |
| Family Medicine primary | 207Q00000X | — |
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Nephrology | 207RN0300X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Internal Medicine, Sleep Medicine | 207RS0012X | — |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | — |
| Pediatrics | 208000000X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — |
| General Practice | 208D00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.